Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage Gerard A. Ateshian Abstract Mixture theory has been used for modeling hydrated biological tissues for several decades. This chapter reviews the basic foundation of mixture theory as applied to biphasic mixtures consisting of a porous-permeable deformable solid matrix and an interstitial fluid. Canonical problems of permeation, confined compression and unconfined compression are analyzed from theory and compared to prior experimental measurements on articular cartilage, with an emphasis on studies that provide validations of theoretical predictions. A brief overview is also provided of the application of mixture theory to solute transport, reactive kinetics, and growth and remodeling. Key words: Mixture theory; Biphasic theory; Articular Cartilage; Permeation; Confined Compression; Unconfined Compression 1 Mixture Theory Continuum modeling of biological tissues poses a number of challenges related to the structure and composition of these tissues, and their temporal evolution as a result of biological and biochemical processes. Most biological tissues are anisotropic and all soft tissues undergo large deformations. Similarly, most biological tissues are porous and permeable, such that interstitial fluid pressurization and flow may contribute significantly to their mechanics. In many cases, mass transport of soluble species within the interstitial fluid plays an important role in the tissue’s metabolic response. Electrically neutral and charged solutes, as well as charged molecular species bound to the solid matrix of biological tissues, may also contribute to osmotic and electrical mechanisms, including pressures, potentials, flows, and curGerard A. Ateshian Columbia University, New York, NY, USA, e-mail: ateshian@columbia.edu 1 2 Gerard A. Ateshian rents. Growth mechanisms, remodeling, and degradation all involve chemical reactions that alter composition, ultrastructure and properties of these tissues. Mixture theory provides a continuum framework for modeling all these mechanisms and phenomena within a self-consistent formulation. For example, the solid matrix of a biological tissue may be modeled as a heterogeneous mixture of solid constituents, such as collagen, elastin and charged proteoglycans. Porous tissues may be modeled as a mixture of a fluid and a solid, where the fluid itself may consist of a mixture of a solvent and multiple solutes. Chemical reactions among some or all of these constituents may be incorporated to account for growth, remodeling and degradation. Mixture theory was initially formulated by Truesdell [83] and further extended by a number of theoreticians in the 1960s and 70s [24, 26, 27, 28, 41]. The theoretical application of mixture theory to biological tissues started in the mid-1970s [54] and experimental investigations of biological tissues using this theoretical framework began in earnest in the 1980s, most notably in the studies of articular cartilage by Mow, Lai and co-workers [9, 56, 64, 68, 70, 71, 72]. One of the principal challenges in the adoption of mixture theory as a modeling framework for biological tissues has been the apparent complexity of its general formulation, especially when alternative traditional modeling frameworks already exist to describe various phenomena under specialized conditions. As noted by Cowin [37], most papers that use mixture theory have an unusually large number of equations. Indeed, mixture theory has a steep learning curve and a prospective practitioner must balance the burden of its adoption against its potential benefits. In this chapter, I hope to present the case for the benefits of using mixture theory, by taking the reader through a narrative of the application and extension of this theory to the study of articular cartilage. This chapter neither provides an exhaustive review of mixture theory, nor a complete review of the cartilage mechanics literature. My primary aim is to illustrate how mixture theory encompasses and combines classical continuum mechanics frameworks and how it may extend those frameworks to accommodate challenges specific to biological tissues, and to demonstrate experimental validations of its theoretical predictions. 2 Mass and Momentum Balance Mixture theory is notoriously intimidating because it requires the formulation of axioms of mass, momentum and energy balance for each of the mixture constituents, which may then be summed together to produce equivalent formulations for the mixture as a whole. Since mixture constituents may exchange mass, momentum and energy with each other, the constituent equations include interaction terms unfamiliar to practitioners of classical continuum theories such as solid or fluid mechanics. In a strict sense, the classical theories represent formulations for pure substances (e.g., a fluid consisting of only one substance). Truesdell conjectured that the mixture as a whole should behave as a pure substance; this principle (which may be consid- Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 3 ered an axiom of mixture theory) places a constraint on the mass, momentum and energy exchanges between constituents. Some of these constraints may be accepted intuitively while others may seem unfamiliar in the context of classical continuum mechanics. Importantly, as reviewed by Bedford and Drumheller [24], the axiom of entropy inequality may only be applied to the mixture as a whole, or else it would overly constrain the formulation of constitutive relations. As with all continuum theories of heterogeneous substances, mixture theory assumes that all constituents coexist at every point in the continuum. In practice, this mathematical assumption implies that all constituents coexist in a volume sufficiently small to encompass the relevant microstructure; each point in the continuum thus represents the center of mass of that region. Each constituent in an unconstrained mixture may move independently of other constituents. The motion of constituent α in the mixture is given by χ α (Xα ,t), where t is time and Xα is the position of a material point of constituent α in the reference configuration of that constituent. In the current configuration at time t, an elemental region whose center of mass is x = χ α (Xα ,t) contains material from all constituents α, each of which may have originated from a different location Xα in its reference configuration. It is also possible to consider constrained mixtures where different constituents move together in the current configuration. This type of mixture is most commonly used to model solid constituents [51]. For example, in biological soft tissues such as vascular wall or elastic cartilage, the extracellular matrix may consist of a constrained mixture of collagen and elastin. Constrained mixtures may also be used to model discrete or continuous fiber distributions, where fiber bundles initially oriented in different directions are treated as distinct constituents α of a constrained solid mixture. The equations of mass and momentum balance are sufficient to address a broad range of analyses in biological tissue mechanics. These general equations are presented below. The energy balance equations are not reviewed in this chapter, as they are are only needed for more specialized analyses, such as those arising in bioheat transfer. The entropy inequality is needed to place constraints on constitutive relations for functions of state, such as the stress, mass supply and dissipative momentum exchange for each mixture constituent. Since the formulation of these constraints is rather involved, only salient relations are summarized here, with proper references to the prior literature provided for more interested readers. 2.1 Mass Balance The axiom of mass balance for each constituent α of a mixture is given by Dα ρ α + ρ α divvα = ρ̂ α Dt (1) 4 Gerard A. Ateshian where ρ α is the apparent density of constituent α, vα is the velocity of that constituent, and ρ̂ α is the apparent mass density supply to constituent α from all other constituents. The apparent density ρ α owes its name to the fact that it represents the mass of constituent α per mixture volume (both taken in the current configuration); similarly, ρ̂ α represents the mass supply to constituent α per mixture volume. Sharing the mixture volume as a common denominator makes it possible to sum these parameters over multiple constituents. The operator Dα (·) /Dt = ∂ (·) /∂t + grad (·) · vα represents the material time derivative in the spatial frame, following constituent α. The mass balance for the mixture has the familiar form of the mass balance relation for a pure substance, Dρ + ρdivv = 0 (2) Dt where ρ is the mixture density and v is the mixture velocity. The operator D (·) /Dt is the familiar material time derivative in the spatial frame, following the mixture. This equation is obtained by taking the summation of Eq.(1) over all α, defining the relationships ρ = ∑ ρα (3) α for the apparent densities, and v= 1 ρ α vα ρ∑ α (4) for the velocities, and producing the constraint ∑ ρ̂ α = 0 (5) α in order to satisfy the requirement that the mixture as a whole behaves as a pure substance. The variable ρ is the mixture density; it represents the mass of all constituents per mixture volume. The mixture velocity v represents the velocity of the center of mass of the elemental region at x. Equation (5) simply states that any mass gained by some constituent α must be due to mass lost from other constituents in the mixture. It is an intuitively self-evident requirement in a Newtonian mechanics framework. 2.2 Momentum Balance The axiom of linear momentum balance for each constituent α is given by ρ α aα = divTα + ρ α bα + p̂α , (6) Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 5 where aα = Dα vα /Dt is the acceleration of constituent α, bα represents external body forces per mixture volume acting on constituent α, Tα is the apparent stress in constituent α, and p̂α is the momentum supply to constituent α due to internal momentum exchanges with all other constituents in the mixture. The apparent stress owes its name to the fact that the associated traction vector tα on a plane with unit normal n, tα = Tα ·n, represents the force vector acting on constituent α per mixture area. Sharing the mixture area as a common denominator makes it possible to sum traction vectors and stresses over multiple constituents. The momentum supply p̂α is an internal body force that accounts for momentum exchanges among constituents. These momentum exchanges may conserve or dissipate free energy, depending on the presence of frictional interactions. The momentum balance for the mixture has the familiar form ρa = divT + ρb (7) where a = Dv/Dt is the mixture acceleration, and b is the mixture body force. This form can be obtained by summing Eq.(6) over all constituents, so that the mixture stress T is given by T = ∑ Tα − ρ α uα ⊗ uα (8) α where = − v is called the diffusion velocity of constituent α. The resulting constraint on the momentum supplies becomes uα vα ∑ p̂α + ρ̂ α uα = 0 . (9) α In contrast to the mass balance equation, which produces intuitively self-evident relations between the whole mixture and its individual constituents, the momentum balance introduces less evident relations, such as that for the mixture stress T in Eq.(8) or the constraint of Eq.(9). The unfamiliar term −ρ α uα ⊗ uα appearing in Eq.(8) arises simply because ρa 6= ∑α ρ α aα in a heterogeneous mixture of unconstrained constituents, neither mathematically nor physically. In the special case of a constrained mixture, where vα = v, ∀α, this term reduces to zero and the mixture stress equals the sum of constituent stresses, which is intuitively more evident; however, the general case accounts for the fact that mixture constituents may have a non-zero diffusion velocity that contributes a rate of change of linear momentum relative to the center of mass. Similarly, in the absence of mass exchanges (ρ̂ α = 0, ∀α), Eq.(9) indicates that internal momentum exchanges should cancel out, a familiar concept consistent with Newton’s third law of action and reaction. However, in the presence of mass exchanges, such as those resulting from chemical reactions between reactants and products, it is necessary to also account for the momentum loss from decreasing reactant mass and momentum gain from increasing product mass. The axiom of angular momentum balance reduces to Tα − (Tα )T = M̂α , where M̂α is the skew-symmetric tensor whose dual vector represents the internal angular momentum supply to constituent α due to interactions with all other mixture con- 6 Gerard A. Ateshian stituents. Assuming that the mixture as a whole models a non-polar material, the constraint on this angular momentum exchange reduces to ∑α M̂α = 0. In applications of mixture theory to biological tissues, it is most common to also assume that M̂α = 0, ∀α, as there is no compelling physical argument for assuming that individual constituents behave as polar materials. 3 Biphasic Theory A biphasic material is a binary mixture of a solid and a fluid constituent (α = s and α = f ). Biphasic theory was formulated for the purpose of modeling biological tissues as porous permeable deformable media. In this theory each constituent is assumed to be intrinsically incompressible, there are no reactions between the solid and fluid (ρ̂ α = 0 for α = s, f ), and isothermal conditions preclude heat flux. Biphasic theory is most appropriate for modeling biological tissues whose interstitial fluid is mobile, such as cartilage [65, 69], intervertebral disc [45], bone [42], cornea [30], or vascular tissue [46, 84]. The mobility of the interstitial fluid may be tested using permeation experiments, which drive fluid through the tissue under the action of a pressure gradient; or using osmotic loading experiments, which drive fluid into or out of the tissue using osmolarity (chemical) gradients [21, 23, 30, 77]. Since water is nearly incompressible under physiological stress magnitudes, it is reasonable to idealize the fluid constituent of a biphasic tissue as intrinsically incompressible. The assumption that the solid matrix may be idealized in this manner must be verified experimentally, for example by measuring its volumetric change under the action of a hydrostatic fluid pressure, as reported for articular cartilage for pressures up to 12 MPa [22]. By definition, when a constituent is intrinsically incompressible, its true density ρTα (mass of constituent α per volume of that constituent) is invariant in space and time. The apparent and true densities are related by the volume fraction ϕ α of the constituent (volume of constituent α per mixture volume) according to ρ α = ϕ α ρTα . In a saturated mixture (a mixture with no voids), volume fractions satisfy the saturation condition (10) ∑ ϕα = 1 . α For a biphasic mixture (α = s, f ), the relation for ρ α may be substituted into the mass balance of Eq.(1) (with ρ̂ α = 0) and the resulting relations for the solid and fluid may be summed, then simplified using Eq.(10) to produce α α div ∑ ϕ v = 0. (11) α This relation may be viewed as a reformulation of the mass balance for the mixture in the special case when all constituents are intrinsically incompressible. Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 7 In mixtures that contain a solid constituent it is natural to define the boundaries of the mixture on the solid. Therefore, the summation appearing inside the divergence operator in Eq.(11) may be rewritten as ϕ s vs + ϕ f v f = vs + w, where w = ϕ f v f − vs (12) is the volumetric flux of fluid relative to the solid (volume of fluid passing through a cross-section of the mixture perpendicular to the flow, per time). 3.1 Constitutive Assumptions The functions of state in a biphasic material are the stresses Tα , the internal momentum supplies p̂α , and the mixture free energy density Ψr (free energy of solid and fluid in the current configuration, per volume of the mixture in the reference configuration). By restricting our choice of state variables, we decide which material characteristics we would like to model. In biphasic theory we would like to model the solid constituent as an elastic material, therefore we include the solid deformation gradient F as a state variable. We also would like to account for frictional interactions resulting from the relative flow between fluid and solid, therefore we also include the diffusion velocities uα in our list of state variables. However, we are not interested in the frictional interactions within the fluid (viscosity) because these can be shown to be negligible in comparison to frictional interactions between constituents; therefore, we do not select the rate of deformation of the fluid as a state variable. Similarly, we are not interested in modeling reactions between the fluid and solid, therefore there is no need to include measures of solid and fluid mass content (such as ρ α ) in the list of state variables. This list of state variables is substituted into the axiom of entropy inequality by expanding the material time derivative of the free energy using the chain rule of differentiation. The assumption of intrinsic incompressibility of the constituents is introduced using the method of Lagrange multipliers [57], by adding the product of Eq.(11) with the multiplier p. The resulting expression for the entropy inequality places the following constraints on the constitutive behavior of the mixture [13], Ψr = Ψr (F) , (13) 1 ∂Ψr T Ts = −ϕ s p −Ψ f I + ·F , J ∂F T f = −ϕ f p +Ψ f I , (14) (15) p̂s = p gradϕ s + gradΨ f + p̂sd , (16) f + p̂df , (17) p̂ f = p gradϕ f − gradΨ ∑ α p̂αd α ·u ≤ 0, (18) 8 Gerard A. Ateshian where Ψ f is the free energy density in the fluid (free energy per volume in the current configuration) and p̂αd F, us , u f is the dissipative part of the internal momentum supply to constituent α. The expression of Eq.(18) is called the dissipation inequality [35], as it represents the dissipation of free energy due to frictional interactions between the mixture constituents. Equation (13) shows that the mixture free energy density only depends on the solid deformation. Equations (14) and (15) provide the general relations between constituent stresses and free energy densities, which require functional expressions for both Ψr and Ψ f . Conveniently, the dependence on Ψ f goes away when we sum the solid and fluid stresses and make use of the saturation condition in Eq.(10), TI ≡ ∑ Tα = −pI + α 1 ∂Ψr T ·F , J ∂F (19) where TI is called the inner part of the mixture stress. Thus, only a formulation for Ψr is needed to evaluate the constitutive relation for the mixture stress. This expression also shows that the scalar multiplier p in the isotropic stress contribution, −pI, represents the pressure in the interstitial fluid, since the remaining term only depends on the solid deformation. The convenience of using TI instead of Ts implies that the mixture linear momentum balance in Eq.(7) is a more convenient alternative to the solid linear momentum balance in Eq.(6). Substituting the relations of Eqs.(15) and (17) into the fluid linear momentum balance in Eq.(6) produces ρ f a f = −ϕ f gradp + ρ f b f + p̂df , (20) which conveniently does not include Ψ f either. Therefore, this reduced form of the fluid linear momentum balance may be used, together with the mixture momentum balance, to solve problems in the biphasic theory. (Alternatively, we may assume constitutively that Ψ f = 0 on the basis that the free energy in the fluid is already represented by the pressure p, as a proxy to free energy resulting from dilatation. In that case, we recover the earlier biphasic theory formulation of Mow and co-workers [70] and Holmes [47].) Similarly, summing Eqs.(16) and (17) and making use of Eq.(9) in the absence of mass exchanges, along with Eq.(10), produces ∑ p̂α = ∑ p̂αd = 0 . α (21) α This relation shows that the dissipative part of internal momentum supplies satisfy the same constraint as the more general term. Combining the dissipation inequality of Eq.(18) with the constraint of Eq.(21) shows that the general form for p̂αd is [10, 57] (22) pαd = ∑ fαβ · uβ − uα , β 6=α where fαβ (α, β = s, f ) are second-order tensors called frictional drag coefficients [57, 70], which satisfy fβ α = fαβ . Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 9 For a biphasic mixture these relations reduce to p̂df = −p̂sd = f f s · vs − v f , where f f s is a function of F, us , u f in general; thus, the dissipative (frictional) momentum exchange between fluid and solid is proportional to the relative velocity between these constituents. Substituting this expression into the fluid momentum balance in Eq.(20) produces the relation classically described as Darcy’s law, h i w = −k · gradp + ρTf a f − b f , (23) where k= ϕf 2 ffs −1 (24) is called the hydraulic permeability tensor. The relation of Eq.(23) relates the relative fluid flux to its driving forces, namely, the gradient in fluid pressure and the difference of inertia and body forces. In general, the permeability tensor k may depend on the state variables F, us , u f ; in a strict sense, Darcy’s law is recovered when k is constant. Darcy’s law was originally formulated as a phenomenological relation in porous media; mixture theory shows that it derives from the momentum balance for the fluid constituent. In practice, problems in biphasic theory may be solved by adopting several additional simplifications applicable to biological tissues. First, inertial effects are typically neglected relative to other terms in the linear momentum balance, since they are relevant mostly in wave propagation problems, where the assumption of intrinsic incompressibility of the constituents would not be valid; thus, acceleration terms involving aα are dropped out of those equations. Second, the diffusive terms −ρ α uα ⊗ uα in Eq.(8) for the mixture stress are typically neglected in comparison to the stresses Tα , as may be verified from an order of magnitude analysis using typical stress, diffusive velocity and apparent density magnitudes expected to arise in biological tissues; thus, the mixture stress and its inner part are assumed to be the same, T ≈ TI . Finally, external body forces bα (typically representing gravity) are only relevant in specific applications. Consequently, the most common usage of biphasic theory employs the simplified expressions divT = 0 , (25) div (vs + w) = 0 , (26) for the mixture momentum balance, for the mixture mass balance, and w = −k · gradp , (27) for the fluid momentum balance (Darcy’s law). The expression for T is approximated by TI in Eq.(19), which may be rewritten as T = −pI + Te , (28) 10 Gerard A. Ateshian where 1 ∂Ψr T ·F (29) J ∂F is the stress resulting from solid matrix strain. This equation requires the formulation of a constitutive relation for Ψr (F). A constitutive relation is also needed to describe the dependence of k on F (its dependence on us and u f is neglected in practice). The solid deformation gradient is uniquely related to the solid displacement u via F = I + Gradu, where Gradu = ∂ u/∂ Xs and I is the identity tensor. The solid velocity is also uniquely related to the displacement via vs = Ds u/Dt. Therefore, the unknowns in a biphasic analysis are u and p, which may be solved from Eqs.(25) and (26), using the relation of Eq.(27). Many biological tissues undergo large deformations under normal physiological conditions. Similarly, the solid matrix of many biological tissues exhibits anisotropy, such that the constitutive relations for Ψr (F) and k (F) need to account for physiologically relevant material symmetries. Therefore, it is often necessary to solve these biphasic equations using numerical schemes, such as the finite element method [63, 82], that facilitate the solution of the resulting nonlinear equations. Nevertheless, much insight may be gained into the response of biphasic materials by obtaining analytical solutions under infinitesimal strains and rotations, assuming that the solid matrix is isotropic. Under these conditions, the deformation gradient simplifies to F ≈ I+ε +ω, where ε = gradu + gradT u /2 is the infinitesimal strain tensor and ω = gradu − gradT u /2 is related to the infinitesimal rotation tensor, with gradu = ∂ u/∂ x representing the spatial gradient of the solid displacement. Under infinitesimal strains and the constraint of frame invariance, the relation of (29) simplifies to Te = ∂Ψr /∂ ε. The solid matrix may thus be modeled using Hooke’s law for isotropic elastic solids, Te = Ψr (ε) = λs (trε)2 + µs trε 2 , 2 (30) where the material constants λs and µs are the Lamé coefficients for the solid. It follows from this relation that T = −pI + λs (trε) I + 2µs ε (31) The simplest model for permeability assumes that it is isotropic and strain-independent, k = kI where k is a scalar material constant. (32) Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 11 3.2 Boundary Conditions Boundary conditions are formulated by satisfying axioms of mass, momentum and energy balance across interfaces in the mixture. Interfaces could represent external boundaries of the mixture, or they may separate two regions of interest within the mixture with a surface Γ . If this interface Γ is an idealization of a material surface (such as a thin membrane idealized as a mathematical surface), the interface conditions need to allow for mass, momentum or energy jumps across that surface (for example, surface tension in the membrane embodies a momentum jump). The boundary conditions presented here apply to immaterial interfaces, such as boundaries of a biphasic tissue with its surrounding environment, or boundaries between adjacent elements in a finite element mesh of a biphasic material. 3.2.1 Mass Balance Since there are two sides across an interface Γ , we may denote them with + and −. The outward unit normal to the + side is n+ and that of the − side is n− , such that n− = −n+ . Assuming that each constituent is intrinsically incompressible and that there are no reactions exchanging mass at the interface, the axiom of mass balance for constituent α across Γ requires that ϕ+α vα+ − vΓ · n+ + ϕ−α vα− − vΓ · n− = 0 , (33) where the subscripts + and − represent quantities on either side of the interface and vΓ is the velocity of the interface Γ [10, 41]. This expression summarizes the requirement that the volumetric flux of constituent α normal to the interface must be continuous across Γ . For convenience, let us define n ≡ n+ and [[ f ]] ≡ f+ − f− for any argument f , so that Eq.(33) may be rewritten in a less cluttered form as [[ϕ α (vα − vΓ )]] · n = 0 . (34) In a biphasic material, the interface Γ is typically defined to follow the motion of the solid matrix, since the boundaries of a biphasic tissue are those of the solid. In those cases we let vΓ · n = vs · n and we may examine boundary conditions for three typical situations: At the interface between a biphasic material and a pure fluid (ϕ s = 0 and ϕ f = 1), the jump condition of Eq.(33) as applied to α = f produces ϕ f v f − vs · n = (v − vs ) · n, where v is the velocity of the pure fluid. This expression may be rearranged as (vs + w) · n = v · n . (35) At the interface between two biphasic materials, the jump condition for the fluid reduces to ϕ f v f − vs · n = 0, indicating that the volumetric fluid flux across the boundary is continuous, which may be rewritten as [[w]] · n = 0 . (36) 12 Gerard A. Ateshian In this case, since vΓ · n is the same on both sides of Γ , it also follows that the normal component of the solid velocity must be continuous across Γ , [[vs ]] · n = 0 . (37) Finally, at the interface of a biphasic material and a pure solid (ϕ s = 1 and ϕ f = 0), Eq.(34) applied to α = f reduces to ϕ f v f − vs · n = 0, implying that the fluid on the biphasic side may not flow across the interface Γ ; equivalently, w·n = 0. (38) Note that there is no requirement imposed by the mass balance condition on tangential components of the constituent velocities. Jump conditions on tangential components may only be prescribed using constitutive assumptions. For example, the tangential jump condition for the solid velocity between two adherent biphasic materials (a constitutive assumption) requires that (I − n ⊗ n) · [[vs ]] = 0. This assumption, combined with the mass balance jump condition of Eq.(37), produces [[vs ]] = 0 in the case of adhesive biphasic interfaces. 3.2.2 Momentum and Energy Balance For an immaterial interface Γ , the jump condition on the momentum balance for the mixture reduces to [10, 41] [[T]] · n = 0 . (39) This condition is equivalent to requiring that the mixture traction vector, t = T · n, be continuous across Γ . Letting T be given by the expression of Eq.(28), we may also write t = −pn + te , where te = Te · n is the traction resulting from the solid matrix strain. The jump conditions for the momentum balance of the solid and fluid constituents involve the jump in internal momentum supply to these constituents. Similar to the expressions of Eqs.(16) and (17), these momentum jumps may not be defined uniquely without further constitutive assumptions. Therefore, to complete the set of boundary conditions, we must turn to the jump condition derived from the energy balance for the fluid constituents [10], which reduces to µ̃ f = 0 where µ̃ f is the mechano-electrochemical potential of the fluid (in units of energy per mass). In the case of a biphasic material, the fluid is a pure substance (e.g., water) which is electrically neutral, implying that its chemical and electrical potentials are constants that may be set to zero with no loss of generality. In this case, µ f = p/ρTf and the jump condition arising from the fluid energy balance reduces to [[p]] = 0 , (40) since ρTf is invariant for intrinsically incompressible constituents. This jump condition implies that the interstitial fluid pressure p of a biphasic material is continuous Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 13 across the interface Γ . If there is no fluid on either side of Γ , the jump condition of Eq.(40) does not apply. 3.3 Permeation Permeation is a canonical problem for biphasic materials, since it analyzes the transport of interstitial fluid through the porous solid matrix and provides a direct measure of the hydraulic permeability k. Permeation experiments are typically performed on a disk of tissue constrained within a tube with a rigid impermeable inner wall (Fig. 1). The tissue specimen is placed against a free-draining rigid porous filter downstream of the flow. Optionally, the specimen is clamped upstream as well, using another similar filter, to a pre-determined compressive strain. Either a known fluid pressure is prescribed upstream (e.g., using a column of fluid), or a known fluid velocity (e.g., using a syringe pump). Permeation experiments are notoriously challenging because of the risk of leakage around the tissue specimen, which may confound the true measurement of the tissue permeability. Another common challenge is that these types of experiments may take a long time to equilibrate to a steady-state response; therefore, premature termination of the experiment may produce an unreliable measure of k. v0 z=0 z z=h p0 upstream fluid biological tissue porous free-draining filter downstream fluid Fig. 1: Permeation through a biological tissue. An analytical solution to the permeation problem may help identify the conditions that alleviate some of these challenges, and may assist in interpreting the results. For a permeation problem along the z-direction as shown in Fig. 1, a cylindrical coordinate system is adopted. For the one-dimensional axisymmetric conditions of this configuration, the only non-zero components of the displacement and fluid flux vectors, u and w, are uz and wz , respectively, and the dependent variables are only functions of z and t. Under these conditions, the mass balance in Eq.(26) reduces to 14 Gerard A. Ateshian ∂ ∂z ∂ uz + wz ∂t = 0. (41) The fluid momentum balance in Eq.(27) simplifies to wz = −k ∂p , ∂z (42) and the mixture momentum in Eq.(25), combined with the constitutive relation in Eq.(31), produces ∂ 2 uz ∂p + HA 2 = 0 , (43) − ∂z ∂z where HA = λs + 2µs is the aggregate modulus. Upstream, at z = 0, the boundary conditions reduce to ∂ uz ∂ uz e = va (t) , p (0,t) = pa (t) , Tzz (0,t) = HA + wz = 0 , (44) ∂t ∂ z z=0 z=0 where va (t) is the flow velocity upstream of the tissue sample and pa (t) is the upstream pressure (Fig. 1). Downstream, at z = h, boundary conditions reduce to ∂ uz uz (h,t) = 0 , + wz = va (t) , ∂t z=h (45) ∂ uz e p (z,t) = 0 , Tzz (h,t) = HA = σa (t) , ∂ z z=h where σa is the normal traction component between the tissue sample and the porous filter. Here, we have made implicit use of the equation of continuity of mass for the fluid entering and leaving the biphasic tissue, by requiring that the upstream and downstream fluid velocities both be given by va . We also assume that because the porous filter is free-draining, the downstream pressure is equal to zero, representing atmospheric pressure. It should be appreciated that if va is known a priori, the upstream pressure pa and downstream traction σa can be determined a posteriori upon completion of the analysis. Integrating the mass balance in Eq.(41) with respect to z, and using the boundary condition either at z = 0 or at z = h, produces wz = va (t) − ∂ uz . ∂t (46) By eliminating ∂ p/∂ z from Eqs.(42)-(43) and using (46), we find that HA k ∂ 2 uz ∂ uz − + va (t) = 0 . ∂ z2 ∂t (47) This is a partial differential equation in the unknown uz (z,t) alone. Once solved, the fluid pressure can be obtained from the integration of Eq.(43) with respect to z, making use of the boundary condition of Eq.(45), Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage ∂ uz ∂ uz p (z,t) = HA − . ∂ z z ∂ z z=h 15 (48) 3.3.1 Steady-State Permeation The steady-state response may be obtained from these equations by letting ∂ uz /∂t = 0 and va = v0 = constant. The mathematical steps leading to the solution are left to the reader. The solution for the steady-state axial displacement is given by z2 v0 h2 1− 2 , (49) uz (z) = 2HA k h whereas that for the fluid pressure is p (z) = v0 h z 1− . k h (50) Since the pressure varies linearly with z, it can be concluded that the pressure gradient is uniform through the thickness of the tissue sample at steady state. From this expression it is now possible to determine the upstream fluid pressure at z = 0, p0 = v0 h . k (51) From an experimental perspective this is an important result because it shows that the permeability can be determined from the measurement of p0 and the knowledge of v0 and h, using k = v0 h/p0 . This result can also be substituted into the solution for uz in Eq.(49) to express the solid matrix displacement as a function of the upstream fluid pressure p0 , uz (z) p0 z2 = 1− 2 . (52) h 2HA h The normal traction at the interface between the tissue and the porous filter is then found to equal the upstream pressure in magnitude, σa = −p0 . The normal strain in the axial z-direction is obtained from the slope of the displacement, and is found to vary linearly through the depth, εzz = duz v0 p0 z =− z=− dz HA k HA h (53) The results of this steady-state permeation problem show that the pressure decreases linearly from p0 upstream to 0 downstream (Fig. 2a). The magnitude of the upstream pressure is directly proportional to the fluid perfusion velocity and sample thickness, and inversely proportional to the permeability. As the fluid flows through the tissue, a drag-induced compaction occurs as indicated by the displacement profile (Fig. 2b). As a result, the height or thickness of the sample is reduced 16 Gerard A. Ateshian p0 0 p0 h 2HA 0 − p0 HA 0 E zz ( z) uz ( z) p( z) h h h z z z (a) (b) (c) Fig. 2: Solution of steady-state permeation analysis, presented as a function of the depth coordinate z. by a magnitude of p0 h/2HA . This compaction is non-uniform, with the axial normal strain starting at zero upstream, where the fluid pressure is highest, and increasing linearly in magnitude with depth, achieving its highest value at the interface with the porous filter, where the fluid pressure is smallest (Fig. 2c). The maximum strain, which is compressive, is given by −p0 /HA ; clearly, for the above small-strain solution to remain valid, the upstream pressure p0 must remain small relative to the tissue aggregate modulus HA . When the axial normal strain (or, more strictly, the dilatation) changes in magnitude as shown in Fig. 2c, the assumption that the permeability remains constant may not necessarily be valid experimentally and the above solution may need to be reevaluated using a strain-dependent permeability function. However, it is of interest that the above solution is in agreement with Darcy’s law, as long as the permeability is assumed constant, considering that Darcy’s law does not address the deformation of porous materials. As a practical matter, in permeation experiments, the tissue sample needs to fit tightly within the side wall of the test chamber to avoid compromising side-leakage. This is sometimes achieved by osmotically swelling the sample after it has been placed in the test chamber, but more frequently a clamping strain is applied onto the sample via a second rigid porous filter placed upstream. (Oversizing the tissue sample relative to the diameter of the chamber and press-fitting it in place is generally a less successful option, whereas the use of glue should be avoided due to seepage into the tissue.) The analysis of a clamped sample would be similar to the above, although the boundary conditions for the displacement function would be different. As a final remark, the expression of Eq.(51) can be rewritten as p0 v0 = . HA HA k/h (54) Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 17 from which it can be construed that just as HA may represent a characteristic measure of the stress in the tissue, so is HA k/h a characteristic measure of the interstitial fluid velocity. For example, in articular cartilage, typical values of HA ∼ 0.5 MPa, k ∼ 10−3 mm4 /N · s, and h ∼ 2 mm produce a characteristic velocity of 0.25 µm/s. If the perfusion velocity is much smaller than this characteristic value, the upstream pressure acting upon the tissue sample will be negligible compared to HA . Conversely, if v0 approaches this characteristic value, then p0 becomes non-negligible relative to the aggregate modulus. Such analyses are helpful when designing an experimental apparatus and deciding upon the full scale range of the instrumentation, such as pressure transducers or syringe pumps. Since v0 is the convective velocity of the interstitial fluid whereas HA k/h is its characteristic diffusive velocity through the mixture, the ratio of these two quantities is the non-dimensional Peclet number for interstitial fluid flow through the tissue, Pew = v0 h HA k (55) Usually, the Peclet number is invoked for transport of solutes in a solution (as the ratio of convective to diffusive velocities) or for heat transfer (as the ratio of forced convection to heat conduction). Here, we see that it is also applicable to fluid transport in porous media. Since Pew = p0 /HA in this problem, and since we already explained that p0 should remain small compared to HA in order to keep the compressive strains small, it follows that Pew should also remain small compared to unity. In practice, Pew . 0.2 is acceptable. 3.3.2 Transient Permeation Permeation experiments on many biological tissues typically require a long time to achieve the steady-state response described in the previous section, because of the very low permeability of these tissues. To estimate the length of time required to achieve steady state, it is necessary to solve for the transient response of uz (z,t), either in response to a step increase in the perfusion velocity, va (t) = v0 H (t), or a step increase in upstream fluid pressure, pa (t) = p0 H (t). The mathematical details for deriving the transient solutions for these two cases are not provided here, though they are readily solved by standard methods for linear second-order partial differential equations with constant coefficients. When the velocity is prescribed upstream, the solution for uz (z,t) is " # uz (z,t) z2 2 ∞ (−1)n 1 z −(n− 1 )2 π 2 t w 1 τ 2 = Pe 1− 2 + 3 ∑ π e , cos n − h 2 h π n=1 n − 1 3 2 h 2 (56) where the Peclet number Pew is given in Eq.(55) and τ = h2 /HA k (57) 18 Gerard A. Ateshian may be called the gel time constant. The axial normal strain is then given by εzz = ∂ uz /∂ z, and the fluid pressure may be obtained from Eq.(48). In particular, the upstream pressure at z = 0 is given by # " ∞ 2 2t 1 1 pa (t) p (0,t) 2 −(n− 2 ) π τ = = Pew 1 − 2 ∑ . (58) e HA HA π n=1 n − 1 2 2 Since the exponential term in these expressions will decay to zero as time increases to infinity, it is easy to see that these equations reduce to the steady-state solutions presented in the previous section. The complete transient response of the upstream fluid pressure pa (t), normalized by its steady-state value, is plotted in Fig. 3a as a function of normalized time. The pressure is found to increase monotonically with time. Let us address the question that first motivated this analysis: How long will it take for the response to reach a steady state after initiation of the experiment? The easiest way to address this question is to analyze the solution for the upstream pressure in Eq.(58), since this pressure is typically measured in a permeation experiment where va (t) is prescribed. Initially, at t = 0, this pressure is equal to zero. The steady-state solution for the upstream pressure is pa (t → ∞) /HA = Pew ; in theory, according to the solution, it will take an infinite amount of time to reach this steady-state value. In practice however, we would be satisfied to stop the experiment after this upstream pressure has reached perhaps 95% of its steady-state value. The characteristic time constant for the increase in pressure can be deduced by looking at the first two terms of the infinite series in Eq.(58). The time constants for these exponential functions are given by 4 4 (59) τ1 = 2 τ , τ2 = 2 τ . π 9π Since τ2 is nine times smaller than τ1 , the response is clearly dominated by τ1 . A simple numerical calculation shows that the solution has reached 95 % of its steadystate value when π2 t 8 (60) 0.95 ≈ 1 − 2 e− 4 τ , or t0.95 ≈ τ . π This calculation shows that the gel time constant τ provides a good estimate of the time required to nearly reach steady state. In Section 3.3.1 typical values of HA , k and h were suggested for articular cartilage. Using these values, we find t0.95 ≈ 8000 s ≈ 2 h 13 m, which confirms that permeation experiments can be timeconsuming. Since the time constant is proportional to h2 , this time may be reduced by a factor of four if the specimen thickness is halved. When the fluid pressure is prescribed upstream, the solution for uz (z,t) is ! uz (z,t) p0 z2 4 ∞ 1 h nπz i −n2 π 2 HA kt/h2 n = 1 − 2 − 2 ∑ 2 1 − (−1) cos e (61) h 2HA h π n=1 n h and the resulting fluid velocity across the tissue sample is Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 11 19 10 10 0.8 0.8 88 0.6 ppaa((tt)) 0.6 0.4 vv00hh kk 0.4 hv hvaa((tt)) 66 0.2 0.2 22 pp00kk 00 44 00 00 0.5 0.5 11 t/τ t/τ 1.5 1.5 22 00 (a) 0.5 0.5 t/τ t/τ 11 (b) Fig. 3: (a) Transient response of the upstream pressure pa (t) in a permeation experiment under a prescribed fluid velocity va (t) = v0 H (t). (b) Transient response of the fluid velocity va (t) across the tissue sample in a permeation experiment with a prescribed upstream fluid pressure pa (t) = p0 H (t). The gel time constant τ is given in Eq.(57). ∞ 2 2 2 h va (t) = 1 + 2 ∑ e−n π HA kt/h p0 k n=1 (62) Interestingly, we find that the initial velocity at t = 0+ is infinite, but eventually reduces to p0 k/h (Fig. 3b). This infinite value (which occurs because inertial effects are neglected) arises from the fact that the initial fluid pressure p (z, 0+ ) increases to p0 instantaneously throughout the tissue thickness, 0 ≤ z < h, except at the downstream porous filter (z = h) where the pressure must be zero according to the downstream boundary condition. Therefore, for an infinitesimal amount of time, there exists an infinite pressure gradient gradp at z = h that produces an infinite fluid flux wz = −k gradp at a fixed boundary where ∂ uz /∂t = 0. The dominant time constant in the exponential decay of va (t) corresponds to n = 1 in Eq.(62), and is given by τ1 = τ/π 2 . This value is four times smaller than in the permeation problem with a prescribed upstream velocity, Eq.(59). Therefore, it is more expedient to perform experiments with a prescribed upstream pressure than a prescribed upstream velocity, as is also evident from a comparison of transient responses in Fig. 3a and Fig. 3b. 3.3.3 Experimental Validations of Permeation Permeation experiments have been reported for a number of connective soft tissues such as articular cartilage [65], intervertebral disc [45], and ligament [87], as well as for vascular tissue [46, 84] and hydrogels such as alginate and agarose [2, 5]. Since these experiments aimed to characterize the hydraulic permeability k of these tissues, they all focused on analyzing the steady-state response to a prescribed fluid 20 Gerard A. Ateshian pressure or velocity. By varying the clamping strain across the tissue specimen, they reported the strain-dependent characteristic of k, typically exhibiting an exponential decrease with increasing compressive strain magnitude. Therefore, other than confirming that these tissues were permeable to their interstitial fluid, these studies did not provide direct validations of the biphasic theory from permeation analyses. Since limited experimental data have been published for transient permeation, we provide an experimental data set obtained from the permeation study of Albro et al. on agarose hydrogels [5]. A disk of Type VII agarose (9% w/v, 1.5 mm thick) was clamped at 15% compressive strain and subjected to an upstream fluid pressure of p0 = 7.4 kPa using a fluid column. The volumetric flow rate of fluid transporting across the gel was determined using time-lapse photography of the fluid meniscus formed in a capillary tube connected to the downstream side of the flow chamber. Experimental results reported in Fig. 4 show that the fluid flux decreased with time, consistent with the theoretical prediction reported in Fig. 3b. The permeability extracted from the steady-state fluid flux using Eq.(51) was k = 3.4 × 10−3 mm4 /N · s. The aggregate modulus was then obtained from a single-parameter fit of the transient response, producing HA = 35 kPa. For comparison purposes, direct measurements of HA for the same type and concentration of agarose exhibited a strong dependence on compressive strain, decreasing exponentially from 203 ± 8 kPa in the limit of 0% compression, down to 58 ± 0 kPa at 15% compression. Therefore, under a clamping strain of 15%, the best-fit value for HA obtained from the permeation analysis was reasonably consistent with direct measurements, especially when we recall that permeation produces a non-uniform compressive strain distribution within the tissue sample as shown in Eq.(53) and Fig. 2. Thus, assuming linear superposition of the clamping strain and permeation response, the actual compressive strain within the sample at steady state ranged from 15% upstream to approximately 28% downstream. 0.18 va(t) (µm/s) 0.12 experiment curvefit 0.06 0.00 0 2000 4000 t (s) 6000 Fig. 4: Experimental results and theoretical curve-fit of the fluid flux, using va (t) in Eq.(62), in a permeation experiment performed on an agarose disk with h = 1.5 mm, under a prescribed fluid pressure p0 = 7.4 kPa. Unpublished raw data is from the study reported by Albro et al. [5]. Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 21 3.4 Confined Compression Confined compression problems represent some of the simplest problems for which closed-form solutions exist in the biphasic theory. The basic assumption of a confined compression problem is that the kinematics of the solid and fluid constituents are entirely one-dimensional. Typically, a cylindrical tissue sample of radius r0 and thickness h is placed within a chamber of equal diameter, whose side wall is rigid and impermeable. The bottom of the chamber may be either rigid impermeable or rigid porous and the specimen is loaded with a rigid free-draining porous indenter of diameter equal to that of the chamber, save for a clearance to avoid interference. The free-draining nature of the loading indenter and, optionally, the bottom of the chamber, is necessary to allow fluid to exude from the tissue as it is being compressed (Fig. 5). If these pathways were not provided, the biphasic theory would predict no deformation of the tissue sample since each of the constituents are assumed intrinsically incompressible and the confined nature of the loading would prevent any change in tissue volume. For practical purposes, tissue confinement can only be maintained under axial compression, since tensile loading would reduce the diameter of the cylindrical sample as its lateral surface recedes from the side wall of the chamber, thereby violating the assumption of one-dimensional kinematics. Thus one-dimensional problems of this kind are always understood to be confined compression. z=0 z=0 tissue z=h tissue z=h (a) (b) Fig. 5: Confined compression testing configuration. The cylindrical tissue sample is placed in a chamber with rigid impermeable side wall and loaded by a free-draining rigid porous indenter. (a) The bottom of the chamber is rigid impermeable; (b) the bottom of the chamber is free-draining rigid porous. If a prescribed static load is applied onto the indenter, the sample will deform under this steady load as the fluid exudes from the tissue. This time-dependent response is known as creep. Conversely, if the deformation of the tissue is prescribed at the indenter, the reaction force exerted on the indenter by the tissue will rise as long as the deformation is increased, then will relax when the deformation is main- 22 Gerard A. Ateshian tained constant. This time-dependent response is called stress-relaxation. Creep and stress-relaxation confined compression are easy to implement experimentally and are often used to characterize the material properties of biological tissues which can be modeled with the biphasic theory. Clearly, the loading or deformation prescribed at the indenter can be of a much more general nature than creep or stress-relaxation; another popular testing configuration is to prescribe a sinusoidal displacement or load at the indenter and to analyze the response of the tissue under steady state. This dynamic loading, which can yield the frequency response of the tissue, may also be used to extract its material properties. We assume that the cylindrical tissue sample is homogeneous. The governing equations for a one-dimensional problem are analyzed in cylindrical coordinates, as performed in the permeation analysis presented in Section 3.3. Therefore, the governing equations are the same as those presented in Eqs.(41), (42) and (43). For the configuration of Fig. 5a, the boundary conditions at z = h are ∂ uz = 0 , wz (z = h,t) = 0 , (63) ∂t z=h indicating that the solid velocity and relative fluid flux in the axial direction are equal to zero at the bottom of the chamber at all times. These boundary conditions imply that va (t) = 0 in Eq.(47). Since the displacement of the tissue at the bottom of the chamber is constrained, one of the boundary conditions for this partial differential equation is uz (z = h,t) = 0 . (64) Under the loading indenter, either the displacement or the applied traction may be prescribed. For a displacement-control experiment, uz (z = 0,t) = ua (t) , (65) where ua (t) is the prescribed displacement. For a load-control experiment, Tzz (z = 0,t) = σa (t), where Tzz = −p + HA ∂ uz /∂ z is the total axial normal stress and σa (t) is the prescribed traction, related to the applied load W (t) (assumed positive in compression) through σa (t) = −W (t) /πr02 . Because the loading indenter is free-draining, the pressure of the interstitial fluid at the top surface of the tissue sample is equal to the pressure of the fluid in the bathing solution. This is taken to be zero gauge pressure, p (z = 0,t) = 0 (66) and thus the load-control boundary condition reduces to ∂ uz HA = Ta (t) . ∂ z z=0 (67) Once the solution for uz (z,t) has been obtained, the interstitial pressure throughout the tissue sample can be obtained from Eq.(48), which represents the difference in elastic stress between the location where the pressure is sought and the surface Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 23 under the indenter. Typically, the initial condition on uz (z,t) is that the sample has no deformation at the beginning of the experiment, uz (z,t = 0) = 0. 3.4.1 Creep In the creep problem, a step load is applied onto the tissue and maintained constant as the tissue undergoes creep deformation. For this load-control case, the applied traction may be specified as σa (t) = σ0 H (t) , (68) where σ0 = −W0 /πr02 is the constant traction corresponding to the constant applied load W0 , and H (t) is the Heaviside unit step function. For this set of equations, the solution for uz (z,t) is given by 0.05 0.04 uz 0,t 0.03 h 0.02 0.01 0 ( ) σ0 = −0.05 HA 0 1 2 3 t/τ Fig. 6: Creep deformation at the surface of a biphasic tissue under confined compression. uz (z,t) σ0 = h HA ( z −1 h 2 ∞ (−1)n + 2 ∑ sin π n=1 n − 1 2 2 ). 2 2t 1 z 1 n− π − 1 e−(n− 2 ) π τ 2 h (69) The axial normal strain is then obtained from εzz = ∂ uz /∂ z and the interstitial fluid pressure may be evaluated from Eq.(48) as p = HA [εzz (z,t) − εzz (0,t)]. In particular, at z = h, the fluid pressure is given by σ0 2 ∞ (−1)n −(n− 1 )2 π 2 t p (h,t) = ∑ n− 1 e 2 τ . HA HA π n=1 2 (70) Finally, the relative fluid flux may be evaluated from Eq.(46) as wz = −∂ uz /∂t. Recall from Section 3.3.1 that HA k/h = h/τ is a measure of the characteristic velocity of diffusive fluid flow within the biphasic matrix. We also note from the 24 Gerard A. Ateshian exponent of the exponential function in the solution for the displacement that τ is also a characteristic measure of the temporal response for creep problems. The typical creep deformation response of confined compression is shown in Fig. 6, where it can be observed that equilibrium is nearly reached at approximately two and half times the gel time constant. z,t)) εεzzzz((z,t (( )) z,t H HAA pp z,t -0.05 -0.04 -0.04 -0.03 -0.03 -0.02 -0.02 -0.01 -0.01 00 -0.05 10−3−3 10 00 00 0.01 0.02 0.02 0.03 0.03 0.04 0.04 0.05 0.05 0.01 00 10−3−3 10 −2 −2 10 10 0.2 0.2 10−2−2 10 0.2 0.2 −1 −1 10−1−1 10 10 10 tt ττ 0.4 0.4 11 2.5 2.5 0.6 0.6 σσ00 −0.05 == −0.05 HAA H zz hh 11 0.6 0.6 2.5 2.5 0.8 0.8 11 (a) tt ττ 0.4 0.4 zz hh 0.8 0.8 σσ00 −0.05 == −0.05 HAA H 11 (b) Fig. 7: (a) Axial normal strain εzz (z,t) and (b) interstitial fluid pressure p (z,t) in confined compression creep, as a function of the axial coordinate z/h, at various times t/τ. The axial normal strain distribution is shown as a function of z and various times t in Fig. 7a. It is apparent from this result that there exists a boundary layer near the surface at early times, where the normal strain rapidly varies from the value of σ0 /HA immediately under the porous indenter, to zero outside of the boundary layer. However, as time progresses, the strain becomes more uniform with depth until it reaches the constant value of σ0 /HA throughout the tissue at equilibrium. A boundary layer is also observed in the spatial distribution of the interstitial fluid pressure at early times (Fig. 7b). At the porous indenter the pressure is equal to zero but at early times this pressure rapidly rises to the value of σ0 outside of the boundary layer. Over time however, the pressure begins to decrease throughout the tissue until it reaches the uniform value of zero at equilibrium. The fluid flux, which is proportional to the gradient in pressure, is greatest at early times and at the interface with the free-draining porous indenter and reduces to a uniform value of zero at equilibrium. It can be noted that, instantaneously upon Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 25 loading, the relative fluid flux is infinite at the interface with the porous filter. However, immediately after that instant the relative fluid flux assumes finite values. The equilibrium response for the creep problem can also be determined by taking the limit of the solutions above as t → ∞, which reduces all the exponential terms to zero, σ0 z σ0 uz (z,t) = − 1 , lim εzz (z,t) = , lim t→∞ t→∞ h HA h HA (71) p (z,t) wz (z,t) lim = 0, lim = 0. t→∞ HA t→∞ HA k/h We find that the deformation is linear through the depth at equilibrium, the axial normal strain is uniform, and the interstitial fluid pressure and relative fluid flux reduce to zero. At equilibrium, a linear isotropic biphasic material behaves like a linear isotropic compressible elastic material. One note of caution when interpreting these results is the need to distinguish between the observed responses described above and the assumed responses of the tissue under physiological loading conditions. Most generally, soft hydrated biological tissues do not get loaded in situ via a porous indenter, therefore the boundary layers in the strain, interstitial fluid pressure, and relative fluid flux observed in confined compression are generally not physiologic. This is of particular importance when live tissue explants are tested to monitor their biosynthetic response to confined compression. Any biosynthetic activity observed near the interface with the rigid porous indenter should be viewed as being specific to this choice of testing configuration and not necessarily representative of the biosynthetic response of the tissue in vivo. 3.4.2 Stress-Relaxation In the stress-relaxation problem the indenter displacement is prescribed to increase linearly in time and then kept constant until the tissue’s load response reaches equilibrium, v0t t < t0 ua (t) = , (72) v0t0 t > t0 where v0 is the indenter velocity during the ramp loading. For these equations, the solution for uz (z,t) is t z h −1 τ 2 ∞ (−1)n 2 2t + π 3 ∑ n3 sin nπ hz − 1 1 − e−n π τ t < t0 uz (z,t) n=1 t0 = −Pew , z h h −1 τ ∞ n t 2 2 2t 2 2 0 + 3 ∑ (−1) sin nπ hz − 1 e−n π τ en π τ − 1 t > t0 π n3 n=1 (73) where Pew is given in Eq.(55) and τ in Eq.(57). The axial normal strain εzz = ∂ uz /∂ z may be evaluated from this solution, along with the interstitial fluid pressure p and 26 Gerard A. Ateshian fluid flux wz . In particular, at z = h, the fluid pressure is ∞ 1 4 −(2n−1)2 π 2 τt t < t0 2 ∑ 2 1−e π p (h,t) n=1 (2n−1) . = Pew ∞ t−t 1 −(2n−1)2 π 2 τ 0 −(2n−1)2 π 2 τt HA 42 ∑ e − e t > t 0 2 π (74) n=1 (2n−1) To evaluate the stress-relaxation response, the axial normal stress can be evaluated at the interface with the porous indenter, σa (t) = Tzz (0,t) = −p (0,t) + HA ∂ uz /∂ z, ∞ 2 2t t + π22 ∑ n12 1 − e−n π τ t < t0 τ σa (t) n=1 = −Pew . (75) ∞ 2 2 t−t0 2 2t HA tτ0 + 22 ∑ 12 e−n π τ − e−n π τ t > t0 π n n=1 11 0.1 0.1 −σ −σaa(t)/H (t)/HAA 0.05 0.05 p(h,t)/H p(h,t)/HAA 00 00 0.5 0.5 t/τ t/τ (a) 11 −p(h,t)/σ −p(h,t)/σaa(t) (t) 0.5 0.5 00 00 0.5 0.5 t/τ t/τ 11 (b) Fig. 8: Confined compression stress-relaxation responses showing (a) the normal compressive traction −σa (t) and interstitial fluid pressure at z = h, and (b) the interstitial fluid load support −p (h,t) /σa (t), when t0 /τ = 0.25 and Pew = 0.2. The solution of Eq.(75) is presented for a representative case in Fig. 8a, with t0 /τ = 0.25 and Pew = 0.2, such that the equilibrium compressive strain has the magnitude v0t0 /h = 0.05. During the ramp phase, the axial normal stress increases nonlinearly with time. At the end of the ramp, the stress relaxes to an equilibrium value. The interstitial fluid pressure at the bottom of the chamber (z = h) similarly rises during the ramp phase, then relaxes down to zero. By taking the ratio of the fluid pressure to the total normal stress σa (t), the interstitial fluid load support can be evaluated as shown in Fig. 8b. Initially, at t = 0+ , the fluid load support is 100% immediately upon application of tissue deformation. This occurs because the fluid has not yet had time to escape and the mixture acts as an incompressible fluid (or solid) with uniform pressure and zero deformation. As time progresses however, fluid exudes from the tissue and the interstitial fluid pressure and fluid load support start decreasing with time. The strain profile through the depth of the tissue follows Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 27 a similar history to the creep response, with tissue compaction (increased strain) occurring initially near the interface with the porous indenter and slowly progressing to a uniform strain distribution at equilibrium. The fluid flux is also initially confined to a narrow boundary layer near the porous indenter. As in the case of the creep response, the equilibrium stress-relaxation response can be obtained by taking the limit of the above solutions as t → ∞. We find that the resulting expressions have the same form as in the creep problem, V t uz (z,t) z 0 0 = −1 , t→∞ h h h p (z,t) lim = 0, t→∞ HA lim lim εzz (z,t) = − t→∞ V0t0 , h wz (z,t) = 0. t→∞ HA k/h (76) lim If we compare the exponents of the exponential responses in creep and stressrelaxation, the time constant of the dominant term (corresponding to n = 1) is four times greater in the creep problem than in the stress-relaxation problem. This means that equilibrium is reached more slowly in creep than in stress-relaxation, which is also evident when comparing the responses of Fig. 6 and Fig. 8. When designing an experiment for testing biological tissue samples in confined compression, the shorter duration of the stress-relaxation test may be considered beneficial, particularly when attempting to minimize tissue degradation over long periods of testing. 3.4.3 Dynamic Loading A frequent alternative to creep and stress-relaxation testing is dynamic loading in confined compression. This testing configuration typically consists of prescribing a sinusoidal load or displacement on the indenter and measuring the resulting response. To get the complete time-dependent response for this kind of loading, we let σa (t) = σ0 + σ1 sin ωt , (77) where σ0 is a tare stress, σ1 is the amplitude and ω is the angular frequency of the dynamic stress. This problem is simply the superposition of the creep solution of Section 3.4.1 with the solution to the sinusoidal loading problem, σa (t) = σ1 sin ωt , (78) so we only need to solve the latter problem to complete the solution. The applied traction must remain compressive at all times to ensure that the porous indenter does not lift-off from the tissue; this constraint can be easily satisfied by having |σ1 | 6 |σ0 |. The remaining boundary conditions are the same as those of the creep problem described in Section 3.4.1. The solution for the transient response under this dynamic loading configuration is [80] 28 Gerard A. Ateshian i h z uz (z,t) σ1 ∞ (−1)n−1 =2 − 1 sin α n ∑ h HA n=1 ω 2 τ 2 + αn4 h (79) , 2 −αn2 t/τ × αn sin ωt − ωτ cos ωt + ωτe where αn = n − 12 π. Plots of the transient displacement and corresponding fluid pressure from this solution are presented in Section 3.4.4 below, where the solution is compared to experimental measurements. As a special case, it is also possible to get the steady-state response of the tissue to dynamic loading by assuming that the√general solution at steady state has the form uz (z,t) = udz (z, ω) eiωt , where i = −1 is the pure imaginary number. The boundary conditions of Eqs.(64)-(67) have a similar form, with σa (t) = σ1 eiωt . It follows that the solution for udz (z, ω) is given by z √ − 1 sinh iωτ d uz (z, ω) σ1 h √ . (80) = √ h HA iωτ cosh iωτ Each term in the above expressions has been grouped such as to be non-dimensional, e.g., udz /h, σ1 /HA , or ωτ. The solutions for the fluid pressure and relative fluid flux can be similarly obtained. 0.05 0.05 (( )) uuzdzd 0, 0,ωω hh 0.001 0.001 σσ11 ==−0.05 −0.05 H HAA 0.025 0.025 ππ (( )) uuzdzd 0, 0,ωω hh 00 0.1 10 0.1 10 ωω τ/2π τ/2π (a) 3π/4 3π/4 1000 1000 0.001 0.001 0.1 10 0.1 10 ωω τ/2π τ/2π 1000 1000 (b) Fig. 9: (a) Amplitude and (b) phase angle for dynamic confined compression under load control, with σ1 /HA = −0.05. The expression of Eq.(80) is a complex number whose magnitude represents the amplitude of the response and whose argument is the phase angle. For example, the amplitude and phase of the displacement response at the interface with the porous indenter is shown in Fig. 9 as a function of the loading frequency f = ω/2π. At very low frequencies, f τ −1 , the displacement is effectively in phase with the applied load and its amplitude (given by the engineering strain measure udz /h) is equal to |σ1 | /HA . (The figure shows a phase angle of π since the displacement uz is positive when the prescribed compressive traction σ1 is negative, given our Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 29 choice of coordinate direction in Fig. 5a.) The load and displacement are in phase because at very low frequencies there is plenty of time for the fluid to flow through the tissue matrix and there is negligible drag between the two constituents. The tissue behaves elastically with a modulus of HA . At very high frequencies, f τ −1 , the displacement is effectively π/4 out of phase with the applied load and the amplitude of the deformation becomes negligible. This is because there is very little time for the fluid to flow through the matrix as the load alternates back and forth; with negligible exchange of fluid with the external environment the tissue acts as an incompressible medium which cannot undergo any deformation in a rigid confining chamber; its dynamic modulus theoretically tends to infinity as the frequency is increased. For intermediate frequencies, f ≈ τ −1 , the tissue response is markedly viscoelastic, with non-negligible relative fluid flow and biphasic drag forces and a dynamic modulus greater than HA . The interstitial fluid pressure can also be evaluated with this approach, producing z √ √ iωτ cosh − 1 − cosh iωτ d σ1 p (z, ω) h √ = . (81) HA HA cosh iωτ 3.4.4 Experimental Validation of Confined Compression The biphasic theory was introduced by Mow et al. in two papers that appeared in 1980 [70, 68]. These papers provided theoretical solutions for confined compression creep and stress-relaxation. Experimental results on bovine and human articular cartilage were also reported for these testing configurations. In the creep experiments, an initial jump was observed in the displacement response which did not agree with theory (Fig. 6) and was attributed to the lack of full initial confinement of the specimen within the test chamber [8, 70]. In stress relaxation, a successful comparison of theory with experimental results on human knee cartilage was reported by Holmes et al. [49] (Fig. 10), who extended the theory to account for strain-dependent permeability as motivated by earlier experimental findings [56, 65, 69]. These results established that biphasic theory could successfully fit the response of articular cartilage in confined compression stress relaxation, which was a necessary condition for validating the theoretical framework. Since articular cartilage is a soft tissue that may undergo large deformations in situ, finite deformation frameworks were subsequently formulated for biphasic theory to account for large strains [48, 55]. Ateshian et al. [14] performed stress-relaxation, creep and dynamic loading experiments in confined compression on bovine articular cartilage to investigate the theoretical framework proposed by Holmes and Mow [48]. In their studies, stress-relaxation experiments were first performed to curve fit the material properties of the tested specimen as follows: Samples were compressed using five consecutive ramp-and-hold displacement profiles that each compressed the sample by 10% of its initial thickness, producing five stress-relaxation responses to a final compressive strain of 50% (Fig. 11). The elastic properties of the solid matrix were fitted from the equilibrium responses of complete contact be made between the tissue filter surface, Fig. 7. To do this, visual conta articular surface and filter was made and then Fig. 8(a) Nonlinear regression curve fit using the asymptotic expression for the stress-rise equation (25) for 0.6 < f < 1.0. The resultant compression offset was added to assure material parameters were used to predict the stress-relaxation stage for tedigitation. If this is not done, spurious load 1.0 < f. This procedure provides a consistency check for the asympgenerated which can lead to experimental arti totic results. The asymptotic result, equation (25), is expected to fail After complete stress relaxation occurs fr nearf = 0 + . conditioning (which takes approximately 45 m function, equation (14), is imp 30 Gerard A.displacement Ateshian paring the theoretical and experimental results the displacement and stress from the 5 perce This was done because of the uncertainty of w interdigitation can be achieved. However, if o include the offset in the calculations, only th 0.75 parameter k0 would be affected. In particular, that there was complete interdigitation when was made then k0 would be increased b exp(0.05M). CO We have performed numerous stress relaxatio o o using this protocol. A typical stress history is s £ 0.25 r3 for the case of a slow rate of compression, w CO 10 5 s and t0 = 5000s. The data shown are removed from the lateral facet of a human pate autopsy [37] from a 65-yr-old with no kno osteoarthritis or other joint diseases. Fig. 8(b) The material parameters determined from the asymptotic To compare the biphasic theory with the expressions, see insert, are used in a numerical scheme to determine Fig. 10: Comparison of biphasic theory and experimental measurements inresults confined it is necessary to determine the material the entire stress-history over the 8000 s duration of this test. Note t0 = compression stress-relaxation, as reported by Holmes et al. [49] (reproduced withHA. The aggregate modulus is the ea M, and 5000 s and e = 10 percent. permission). The permeability was modeled to depend on the solid matrix dilatation s I s = trε according = k0 eMI , where kEngineering Journaltoofk Biomechanical AUGUST 1985, 0 is the hydraulic permeability in the limit of zero strain and M is a material parameter governing the dependence on the strain. Downloaded 18 Jun 2012 to 128.59.144.110. Redistribution subject to ASME license or copyright; see http://www.a these five steps (Fig. 11b). Then, the hydraulic permeability material constants from a strain-dependent model were fitted to the transient response (Fig. 11a). To validate this model and material properties obtained from fitting the stressrelaxation responses, a creep test was also performed on the same specimens, followed by dynamic loading at a frequency of 0.005 Hz. The fitted parameters from the stress-relaxation response were used to predict the specimen deformation under creep and dynamic loading under the same loading conditions. In this series of studies, no initial jump was observed in the creep response upon the application of the step load, because an initial tare load was prescribed on the specimen to ensure full confinement [14]. Very good agreement was observed between experimental results and theoretical prediction (Fig. 12), providing strong support toward the validation of the theoretical framework. The ability to predict outcomes of an experiment that did not inform the model represents a sufficient step in the validation of a theoretical framework. In addition to predicting the deformation and stresses in the solid matrix, the biphasic theory can also predict responses for the interstitial fluid pressure and flux. As seen in Section 3.3.3, which reviewed experimental validations of biphasic permeation, there is a dearth of experimental studies that report the transient response for interstitial fluid flux within cartilage. However, starting with the work of Oloyede and Broom in 1991 [74, 73], experimental measurements of the interstitial fluid pressure within cartilage have been reported. In the studies by Soltz and Ateshian [78, 80], interstitial fluid pressure was measured in bovine articular cartilage at the interface of the tissue sample and bottom of the confining chamber (z = h in Fig. 5a), in creep and stress relaxation [78] and dynamic loading [80]. The biphasic theory was used to extract HA and k by curve-fitting the tissue deformation at z = 0 (us- Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 31 Fig. 11: Experimental stress responses and theoretical curve-fit of confined compression stress relaxation on bovine articular cartilage, as reported by Ateshian et al. [14] (reproduced with permission). (a) Complete transient response for five consecutive ramp-and-hold compression profiles that each compressed the sample by 10% of its initial thickness. (b) Equilibrium stress-stretch response from the end of each compression step. The elastic properties HA0 and β of the solid matrix were obtained from fitting the equilibrium response. The hydraulic permeability parameters k0 and M were obtained from fitting the transient response. ing Eq.(69) in creep and Eq.(80) for dynamic loading experiments) or the stress response of Eq.(75) in stress relaxation. The fluid interstitial pressure was then predicted from the theory, using Eq.(70) for creep, Eq.(81) for dynamic loading, and Eq.(74) for stress-relaxation, using these values of HA and k. Very good agreement was obtained between the predicted and measured interstitial fluid pressure in these studies (Fig. 13), validating the ability of the biphasic theory to predict the transient response of the interstitial fluid pressure in confined compression. 32 Gerard A. Ateshian Fig. 12: Experimental displacement response of bovine cartilage plug under confined compression creep and dynamic loading (solid curve), and prediction of the response from biphasic theory [48] using material constants fitted to the stressrelaxation response (Fig. 11). (Reproduced from [14] with permission.) 3.5 Unconfined Compression Unconfined compression is a testing configuration that subjects a cylindrical tissue sample to compressive strains in the axial direction and tensile strains in the radial and circumferential directions. Since many biological soft tissues have a fibrillar solid matrix that resists tension with much greater stiffness than compression, we may extend the constitutive model of Eq.(31) to include the contribution of fibrils that may only sustain tensile loading, m Te = λs (trε) I + 2µs ε + ξ ∑H (i) εn n(i) ⊗ n(i) , (82) i=1 where ξ is the tensile modulus of each fibril bundle, m is the number of fibril bun(i) dles, n(i) is a unit vector along the direction of the i−th fibril bundle, εn is the nor(i) mal strain component along that bundle, εn = n(i) ·ε ·n(i) , and H (·) is the Heaviside unit step function, which limits the contribution of the i−th fibril bundle to loading (i) configurations that produce a positive normal strain, εn > 0. In the following analysis of unconfined compression the tissue is assumed to be homogeneous and the loading platens are assumed frictionless. For the constitutive model of Eq.(82), the governing equations for this problem can be reduced from the general equations using cylindrical coordinates (r, θ , z) under axisymmetric conditions (zero circumferential displacement and fluid flux, and no dependence of the remaining displacement components and fluid pressure on θ ). For simplicity, we assume that there are only three fibril bundles (m = 3), each oriented along one of the coordinate directions, such that the fibril directions n(i) coincide with the basis vectors of this cylindrical coordinate system. Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 30 30 15 15 30 uuzz(0,t) (0,t)30 00 (µm) (µm)15 15 -15 -15 uuz(0,t) z(0,t) 00 (µm)-30 (µm) -30 -15 00 -15 -30 -30 30 30 00 15 15 30 uuzz(0,t) (0,t)30 00 (µm) (µm)15 15 -15 -15 uuz(0,t) z(0,t) 00 (µm)-30 (µm) -30 -15 00 -15 -30 -30 00 curvefit curvefit experiment experiment curvefit curvefit experiment experiment 5000 5000 10000 10000 15000 15000 20000 20000 tt(s) (s) 20 20 prediction prediction 40 p(h,t) p(h,t)40 00 (kPa) (kPa)20 20 -20 p(h,t)-20 p(h,t) 00 (kPa)-40 (kPa) -40 -20 00 -20 10000 10000 tt(s) (s) -40 -40 5000(a) 1000015000 15000 20000 prediction prediction experiment experiment 5000 10000 20000 (s) tt(s) prediction prediction experiment experiment 20 20 tt(s) (s) 40 40 20 20 (s) tt(s) 40 40 prediction prediction 40 40 40 40 prediction (b) 10000 00 prediction 10000 (s) tt(s) 20 20 prediction prediction 40 p(h,t) p(h,t)40 00 (kPa) (kPa)20 20 -20 p(h,t)-20 p(h,t) 00 (kPa)-40 (kPa) -40 -20 00 -20 20 20 tt(s) (s) -40 -40 00 20 20 (s) tt(s) (c) 33 experiment experiment experiment experiment 20000 20000 experiment experiment 20000 20000 experiment experiment 40 40 40 40 (d) Fig. 13: Experimental and theoretical responses of bovine articular cartilage under confined compression dynamic loading, using data from the study of Soltz and Ateshian [80]. (a) Experimental deformation and curve-fit of the tissue deformation uz (0,t) to Eq.(79), under the action of a dynamic compressive stress with σ1 = −33 kPa and frequency f = 10−4 Hz, superposed over a static tare stress of σ0 = −130 kPa; the fitted values are HA = 0.54 MPa and k = 1.6 × 10−4 mm4 /N · s. (b) Experimental response and prediction of the fluid pressure p (h,t) for the same specimen, using the values of HA and k from the curvefit in (a). (c) Experimental response and prediction of uz (0,t) for the same specimen at a loading frequency of 0.1 Hz, using properties from (a). (d) Experimental response and prediction of p (h,t) for the conditions described in (c). z h/2 r h/2 r0 Fig. 14: Geometry of unconfined compression problem. 34 Gerard A. Ateshian We now make the following simplifying assumptions which anticipate the final solution, in order to reduce the number of equations. These assumptions must be consistent with the boundary conditions for this problem, which are described in greater detail below. Because of the frictionless platens we expect the radial displacement ur to be independent of the axial coordinate z since no bulging of the specimen is expected under these conditions (∂ ur /∂ z = 0). Since the shear strain is given by εrz = (∂ ur /∂ z + ∂ uz /∂ r) /2 and is directly proportional to the shear stress, and since the shear traction is zero on the top and bottom surfaces as well as the lateral boundary, this suggests that we should also assume ∂ uz /∂ r = 0 everywhere within the tissue sample. The loading platens are impermeable so that the fluid flux normal to the platens must be zero, wz = 0. This constraint implies that the pressure gradient along z is zero at the top and bottom surfaces, and we assume it is zero throughout the sample. Combining all these assumptions we get ur = ur (r,t), uθ = 0, uz = uz (z,t), p = p (r,t), wr = wr (r,t), wθ = 0 and wz = 0. Finally, we anticipate from the nature of this problem that the axial normal strain εzz is compressive, whereas the radial and circumferential normal strains, εrr and εθ θ respectively, are tensile. Thus, only fibril bundles in the latter two directions contribute to the stress response according to Eq.(82). Substituting these relations into the component form of Eqs.(26) and (27), and the radial and axial components of Eq.(25) respectively, we now get ∂ ur ∂ ∂ uz 1 ∂ r + wr + = 0, (83) r ∂r ∂t ∂t ∂ z ∂p wr = −k , ∂r ∂p ∂ 1 ∂ − + H+A (rur ) = 0 , ∂r ∂r r ∂r ∂ 2 uz = 0, ∂ z2 (84) (85) (86) where H+A = HA + ξ combines the stiffnesses of fibrils and ground matrix in this fibril-reinforced model. Integrating the last of these relations with respect to z, we get ∂ uz /∂ z = ε (t), where ε (t) is the axial normal strain εzz in the cylindrical specimen, which is found to be only a function of time in this problem. Substituting this result into Eq.(83) and integrating the resulting equation with respect to r yields ∂ ur r2 r + wr = −ε̇ (t) + v (t) , (87) ∂t 2 where v (t) is an integration function. Evaluating this equation at r = 0 shows that v (t) = 0 in this problem. Using Eq.(84), the above relation now reduces to r ∂ p 1 ∂ ur = + ε̇ (t) , (88) ∂r k ∂t 2 Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 35 which can be substituted into Eq.(85) to yield a partial differential equation in the dependent variable ur (r,t), ∂ 1 ∂ r 1 ∂ ur 1 ε̇ (t) . (rur ) − = (89) ∂r r ∂r H+A k ∂t H+A k 2 The boundary conditions for this problem must be formulated at all the boundaries of the cylindrical tissue sample: at r = 0 and r = r0 (where r0 is the specimen radius), and at z = ±h/2. Because of axisymmetry, there is no radial displacement or fluid flux at r = 0 and the axial displacement is symmetric relative to the z−axis. These conditions lead to the relations ∂ p e = 0. (90) ur (0,t) = 0 , Trz (0,t) = 0 , ∂ r r=0 The condition Trze = 0 is satisfied automatically throughout the cylindrical specimen based on the assumptions summarized above; the condition ∂ p/∂ r = 0 is satisfied automatically at r = 0 according to Eq.(88) as long as ur (0,t) = 0. At the radial edge of the sample the total traction is zero, both in the normal and shear directions, and the fluid pressure must be ambient, ∂ ur ur (r0 ,t) e Trr (r0 ,t) = H+A + λs + ε (t) = 0 , ∂ r r=r0 r0 (91) Trze (r0 ,t) = 0 , p (r0 ,t) = 0 . At the top and bottom surfaces (z = ±h/2), the shear traction Trze is equal to zero because of the assumption of frictionless contact, and the normal fluid flux must be zero because the loading platens are impermeable, thus ∂ p/∂ z = 0; these boundary conditions are satisfied automatically based on our prior assumptions. For load control experiments the integrated normal traction component at the top and bottom surfaces must be equal to the applied load, whereas for displacement control experiments the axial displacement is prescribed, ( ´ r 2π 0 0 r −p + Tzze dr = W (t) load control h at z = ± . (92) 2 displacement control uz = ± 12 ua (t) The interstitial fluid pressure is obtained by integrating ∂ p/∂ r in Eq.(85) and making use of the boundary condition on p in Eq.(91), ∂ ur ur r0 + p (r,t) = − H+A . (93) ∂r r r The total normal load at the platens is then given by Eq.(92), W (t) = W p (t) + W e (t), where 36 Gerard A. Ateshian ˆ W p (t) = −2π ˆ e W (t) = 2π r0 rp (r,t) dr 0 r0 . (94) rTzze (r,t) dr 0 W p (t) Here, is the component of the total axial load contributed by the interstitial fluid pressure and W e (t) is the component contributed by the effective stress. Using the above results, these expressions reduce to ur , (95) W p (t) = −πr02 λs ε (t) + (H+A + λs ) r r=r0 ur W e (t) = πr02 HA ε (t) + 2λs , (96) r r=r0 H+A − λs ur W (t) = πr02 (HA − λs ) ε (t) − . (97) HA − λs r r=r0 Note that the boundary condition of Eq.(91) was used to eliminate ∂ ur /∂ r|r=r0 from the right-hand-side. 3.5.1 Instantaneous and Equilibrium Responses For an unconfined compression stress-relaxation problem where the axial strain is prescribed as a step function, let ε (t) = ε0 H (t), where ε0 6 0. The instantaneous response at t = 0+ may be obtained by recognizing that p (r, 0+ ) is uniform (thus wr (r, 0+ ) = 0) over the range 0 ≤ r < r0 , and ur (r, 0+ ) is a linear function of r over that range. In that case, it can be shown that the instantaneous response is given by lim t→0+ ur (r,t) ε0 r =− . r0 2r0 It follows from this solution that ε0 W p 0+ = πr02 (H+A − λs ) 2 ε0 , + 2 W 0 = πr0 (2HA + H+A − 3λs ) 2 (98) (99) so that the instantaneous fluid load support is given by W p (0+ ) H+A − λs 2µs + ξ = = , + W (0 ) 2HA + H+A − 3λs 6µs + ξ (100) and the instantaneous (dynamic) unconfined compression modulus is + EY0 = W (0+ ) 1 = 3µs + ξ , 2 2 πr0 ε0 (101) Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 37 whereas the instantaneous effective Poisson’s ratio is given by + ν 0 = lim − t→0+ 1 εrr 1 ∂ ur = , = lim − εzz t→0+ ε0 ∂ r 2 (102) consistent with this instantaneous isochoric deformation. These results show that the instantaneous stiffness of the tissue is significantly influenced by the fibril modulus ξ : In the absence of fibrils (ξ = 0), the fluid load support in Eq.(100) reduces to W p (0+ ) /W (0+ ) = 1/3 and the effective unconfined compression modulus reduces + to EY0 = 3µs ; however, as ξ increases to values much greater than the ground matrix shear modulus µs , the fluid load support approaches unity, W p (0+ ) = 1, ξ /µs →∞ W (0+ ) lim (103) + and EY0 increases in proportion to ξ /2. Thus, a relatively stiff fibril matrix has the effect of enhancing fluid pressurization and interstitial fluid load support under instantaneous loading; as a result of this fluid pressurization, the effective compressive modulus is nearly proportional to the tensile stiffness of the fibrils. This counterintuitive result implies that a hydrated biological tissue that is typically loaded in compression, such as articular cartilage, may resist compressive loads more effectively by having a fibril-reinforced solid matrix, even though fibrils may only sustain tension. Similarly, the equilibrium response as t → ∞ is obtained by setting time derivatives to zero, recognizing that p = 0 and ur is similarly a linear function of r, thus ur (r,t) λs r =− ε0 . t→∞ r0 H+A + λs r0 lim (104) The effective equilibrium Young’s modulus in unconfined compression is W (t) 2λs2 = H − , A t→∞ πr 2 ε0 H+A + λs 0 E−Y = lim (105) and the corresponding effective equilibrium Poisson’s ratio is ν− = lim − t→∞ εrr 1 ∂ ur λs = lim − = . εzz t→∞ ε0 ∂ r H+A + λs (106) Since the fibrils may only sustain tension, the results presented here are specific to unconfined compression. In particular, it may be noted from these last equations that E−Y → HA and ν− → 0 as ξ /λs → ∞; thus, in compression, Young’s modulus behaves as the confined compression modulus HA as the fibrils become very stiff, consistent with the finding that the effective Poisson’s ratio tends to zero, implying little lateral expansion under compression. 38 Gerard A. Ateshian 3.5.2 Transient Response The transient solution for ur (r,t) may be obtained by the method of Laplace transforms and is given by r ∞ J γ n 1 r0 2 1 − η ur (r,t) r = ε0 +∑ (107) e−γn t/τ r0 2η − 1 r0 n=1 γn J0 (γn ) (2η − 1 − η 2 γn2 ) where η = H+A / (H+A − λs ) and the gel time constant for this problem is given by τ = r02 /H+A k . (108) ηγn J0 (γn ) − J1 (γn ) = 0 , (109) Here, γn ’s are the roots of where J0 and J1 are Bessel functions of the first kind, of order 0 and 1 respectively (γn > 0). The fluid pressure may then be obtained from Eq.(93) using r ∞ γn J0 γn r − 0 J1 γn r r0 r r0 2 ∂ ur 1 − η e−γn t/τ , (110) = ε0 +∑ ∂r 2η − 1 n=1 γn J0 (γn ) (2η − 1 − η 2 γn2 ) and the fluid load support, evaluated from Eqs.(95)-(97), reduces to ∞ W p (t) W (t) 2 J1 (γn ) e−γn t/τ 2 2 n=1 γn J0 (γn ) (2η − 1 − η γn ) (2η − 1) ∑ = ηζ − 1 + ∞ 2 1−η J1 (γn ) e−γn t/τ +∑ 2η − 1 n=1 γn J0 (γn ) (2η − 1 − η 2 γn2 ) (111) where ζ = 1 − HA /H+A . A typical response for the time-dependent radial displacement ur (r,t) is presented in Fig. 15a as a function of time, for the case where η = 9/8 (or equivalently, H+A = 9λs ). The corresponding spatial distribution of the displacement is presented in Fig. 15b at selected time points. Immediately upon loading (represented by the very short time response t/τ = 10−4 ), an instantaneous lateral expansion of the cylindrical specimen occurs, which varies linearly from 0 to r0 as predicted by Eq.(98), after which the radial displacement slowly recoils to its equilibrium value with increasing time. The interstitial pressure for the same case is presented in Fig. 16a. The instantaneous response of the pressure is a homogeneous distribution whose magnitude is given by −W p (0+ ) /πr02 in Eq.(99) (which evaluates to 4ε0 /9H+A in this example), except at the boundary r = r0 where the pressure reduces to zero. Over time the pressure becomes inhomogeneous and decreases toward zero, though it is noteworthy that the pressure near the center of the cylindrical specimen temporarily rises Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 0.05 0.05 (( )) t (( )) uurr r,t r,t rr00 rr00 00 00 5 0.5 0.5 11 t/τ t/τ 1.5 1.5 t/τ 22 0 0.5 1 t/τ 1.5 6 ) (a) 0.5 2 0 0 1.5 11 2 0 0.4 0.6 r/r0 (a) 0.8 1 0.5 2 0.4 0.6 r/r0 0.8 1 t/τ 10-2 10-4 ( ) p r,t H+ A 0.5 2 0 0 0.2 t/τ 10 10 10 ( ) Wp t H+ A 1 t/τ 0.2 0.2 0.4 0.4 0.6 0.6 0.8 0.8 r/r r/r00 () W (t ) ( ) 0.5 00 ( ) (( )) p r,t 0 00 10-4 ( ) (( )) (( )) 0 0.5 0.5 22 0.05 0.05 (b) t/τ t/τ 10-2 0.06 0.06 10 10-1-1 -2 -2 10 10 0.6 0.6 10 10-4-4 10-1 u compression Fig. 15: Radial displacement in unconfined stress relaxation under anur r,t r0 ,t ur r,t r W W prp tt step strain ε0 = −0.1, with H+A =pp9λ applied r,t r,t rs0 , using Eq.(107). (a) Time-dependent r0 0.5 0 radial displacement along r, at selected time points W W tt displacement at r = r0 . (b) Radial H H++AA 2 0.5 0.5 t/τ. 0 0 0 22 0.5 0 1 1.5 2 2 0 0.2 0 0.2 0.4 0.6 0.8 1 00 00 t/τ r/r 0 0 0.2 0.4 0.6 0.8 1 0 0.2 0.4 0.6 0.8 1 00 0.5 11 1.5 22 0.5 1.5 t/τ r/r t/τ r/r00 t/τ 0.06 10-1 0.06 10-1 10-2 -4 0.6 10 0.05 ) t/τ t/τ 10 10-4-4 10 10-2-2 10 10-1-1 0.05 0.05 uurr rr00,t,t 39 0 0.5 1 t/τ 1.5 2 (b) Fig. 16: (a) Spatial distribution of interstitial fluid pressure in unconfined compression stress relaxation, at selected time points t/τ; and (b) interstitial fluid load support as a function of time when HA = 3λs . above its instantaneous response before dropping down. The corresponding fluid load support is given in Fig. 16b as a function of time, when ζ = 2/3 (or equivalently, HA = 3λs ), showing an initial jump, then a slow decrease toward zero as equilibrium is reached. For the choices of η and ζ selected in this example, Eq.(100) predicts that the initial peak fluid load support is 2/3. 3.5.3 Experimental Validation of Unconfined Compression The analytical solution for unconfined compression presented in the previous sections was first formulated by Armstrong et al. in 1984 [9] for the case ξ = 0 (no fib- 0 0.2 0.4 0.6 r/r0 0.8 1 Time (s) ess relaxation load intensity time history from cond compression tests on GP specimens. Note how onses coincide. matrix with H^ = C^. The elastic and permeability coefficients thus obtained for both GP and CE are provided in Table 1. Significant differences were found in both elastic moduli (£3 and E\, p < 0.01) and permeability coefficients (p < 0.05) ughout the tests, all specimens were bathed in between GP and CE (multivariate ANOVA). Growth plate is NaCl solution containing protease inhibitors half as stiff as chondroepiphysis and twice as permeable. Pois40 Gerard A. Ateshian son' s ratio (i^ai) was not significantly different. For comparison, methylsulfonyl fluoride). the isotropic model, Eqs. (39) and (40) in Armstrong et al. alsothese usedauthors to curve-fit thereport experimental data measurements for rils). In their(1984), originalwas study, did not experimental onetheir particular specimen. Curve-fits the isotropic and Singerman to corroborate theoretical predictions. In for fact,both in 1986, Brown and history of the load intensity in confined and transversely isotropic models are given in Fig. 7, in which the reported poor agreement their the measurements on£1epiphyseal (growth ession stress relaxation tests of a GP [29] specimen biphasic parameters between that provided best fit were: = 4.3 cartilage and£3the response of Armstrong 5. The load intensities at equilibriumplate) (means MPa, = unconfined 0.64 MPa, stress-relaxation v^^ = 0, i/ji = 0.49, and fc, = 5.0 X et al. [9]. ations) are plotted in Fig. 6. A highly 10""" for the isotropic remained model, and E = In signifithose years, them''/N-s root cause for transversely this poor agreement uncertain. Eventuas found between the tissue levels (GP versus MPa, = 0, and = 15.5 X 10"'^ mVN-s emerged for the isotropic ally, starting1.08 in the late!v1990s, two^ competing hypotheses that could explain ficant difference was found betweenthis thediscrepancy. two model. The results indicate that the transversely isotropic model d versus unconfined). Furthermore, consider- provides a much better fit to the experimental data than an In suf1998, isotropic Cohen, Lai and Mow [34] proposed that the unconfined compression replate and chondroepiphysis specimens, model. In addition, the optimized solution also yields should the of known disparity between the tensile and=compressive power ( > 9 0 percent) exists for an sponse inference the account requiredfor value the equilibrium load intensity, i.e.,/^, m load intensities in the confined and uncon- of the solid matrix of cartilage. Experimental studies had long demonproperties tests are unlikely to differ by more strated than one that articular cartilage is much stiffer in tension than compression [1, 8, 53], (paired Mest, a = 0.05, n = 20). Assuming as its solid matrix consists of fibrillar (type II) collagen that can resist tension, and um load intensities are equal, an immediate Discussion proteoglycans (aggrecans) that can model resist compression [66]. To account The transversely isotropic biphasic provides an excelqs. (18) and (19) is that v^ = 0 for aggregating both GP forinthisthedisparity in the context of stress-relaxation classical solid mechanics, modeled the solid lent description of the response inthey the uncone following procedure was followed fined compression test, where the tissue is under compression in The stressmization procedure: First, v^j = 0 matrix was preof articular cartilage as a transversely isotropic elastic material. the axial direction and tension in the transverse plane. Previous as given the value/e,/eo froni the unconfined strain response in the axial direction employed the compressive modulus, whereas Next, the elastic moduli Ei and i/2>, and the attempts to model this experiment with isotropic material propthat in the transverse of isotropy employed modulus. erties couldplane not produce adequate results,the as tensile demonstrated by They pron the transverse r-9 plane) were calculated vided an analytical solution for unconfined compression the inherent maximum theoretical limit of 1.5stress-relaxation, on the ratio of similar to meter curve-fit of the unconfined compression the peak equilibrium intensity (Armstrong et al., 1984). epiphyseal Eqs. (20). The axial permeability k^ (inofthe that Eq.(107), thatto better fitted load the experimental response of bovine Using btained from results of the confined comprescartilage (Fig. 17).the transversely isotropic model for unconfined comprese easily shown that the confined compression for the transversely isotropic solid matrix is same equation as that for an isotropic solid 1.4 I * experimental • • transversely isotropic — 0.20 isotropic 1.2 1.0 V9 0.8 4) OR 0.4 L a 0.10 r * / ' 1 L ( r' 'T* ^ ^ / f L f 0.2 0.0 t^ r ' LI 0.00 200 400 600 time (s) 800 1000 Fig. 7 A typical stress-relaxation time history in response to a ramped ensity at equilibrium for both growth plate (GP) and Fig. 17: Experimental response and theoretical curve-fits for unconfined compresdisplacement (10 percent compression at 131 s) with curve-fits of both CE) in confined and unconfined compression tests , n = 10) isotropic and Isotropic biphasic models sion stress-relaxation oftransversely bovine epiphyseal cartilage, as reported by Cohen et al. [34] echanical Engineering (reproduced with permission). Using a transversely isotropic model for the solid maAUGUST 1998,theVol. 120 / model. 495 trix of cartilage produced significantly better fits than isotropic 3 to 128.59.144.110. Redistribution subjectInto1999 ASME licenseetoral. copyright; see concerns http://www.asme.org/terms/Terms_Use.cfm Bursac [31] raised about the use of a transversely isotropic model to model articular cartilage, as this approach would produce inconsistent results between confined and unconfined compression. In the same year, Soulhat et al. [81] and Li et al. [61, 62] proposed to model the solid matrix of biphasic unconfined compression "Fig. 5#. The shear modulus & was obtained from Eq. "31# using the equilibrium torque response T, given the specimen radius r 0 and thickness h. the material parameters been determined from curveMixture Theory Once for Modeling Biological Tissues:had Illustrations from Articular Cartilage 41 fitting, the fluid pressure at the articular surface of the specimen subsequently predicted from for unconfined compres-material. In cartilage in was unconfined compression usingtheory a fibril-network reinforced sion using Eq. "22# at r!0, and compared with the corresponding their approach, collagen data fibrilstowere using ability linear or experimental test modeled the predictive of non-linear the model.springs that could only sustain tension, as showncomparisons in Section 3.5. Theyexperimental demonstrated Curve-fits and predictive between andgood curvefits of the stress-relaxation of articular single theoretical resultsresponse were assessed with a cartilage, nonlinear under coefficient of or multiple determination r 2 '24,46(. ramp-and-hold displacement profiles. Their formulation did not exhibit the limita- tion raised in the study of Bursac et al. [31]. In 2000, Results Soltz and Ateshian [79] adopted the Conewise Linear Elasticity (CLE) framework formulated earlierdev. by Curnier al. material [38] forproperties modeling(n!9) elastic solids that The mean$std. values ofetthe "16 were found to be: MPa and kto exhibit different behaviors in Htension and compression, model the solid matrix "A !0.64$0.22 z !3.62%10 ntal confined compression stress-relaxation $0.97%10"16 m4/N•s from curve-fitting the transient confined of biphasic cartilage. They performed confined and unconfined compression and 2 r 0 ‡ and corresponding theoretical curve-fit compression response "r 2 !0.95$0.03, Fig. 4#, H !13.2 #Atheir compressive, torsion experiments on bovine articular cartilage disks to extract men % 2 !0.48$0.23 MPa, and k r !6.06%10"16$2.10 tensile and $1.7 shearMPa, properties, as well as axial and radial permeability coefficients. %10"16 m4/Ns from curve-fitting the transient unconfined comThey also measured the interstitial fluid pressure at the center of the disk in un2 pression data "r !0.99$0.002, Fig. 5#. A paired two-tailed t-test g platens. As for stress-relaxation confined tests, the compression stress relaxation, and compared these measurements to prepressed between the platens to a tare load of performed on the radial and axial permeability yielded p dictions from this biphasic-CLE model. These results good agreement !0.001. The model predicted the transient fluidshowed pressurevery response g tare equilibrium, a step rotation of ! 0 2 with an r !0.98$0.01 in unconfined compression "Fig. 5#. The between theory and experiments (Fig. 18), providing strong support for the validaplied about the axis of the cylindrical specimen shear theory tests produced & !0.17$0.06 Tablefor 1 summarizes the tion Ann of biphasic in a framework that MPa. accounts the tension-compression tor "Slo-Syn Model 440, Warner Electric, properties obtained for each specimenusing by curve-fitting resultant equilibrium reaction torque,nonlinearity T, was material of articular cartilage. Further validation interstitialthe fluid pressure experimental responses, as well as r 2 values for the curve-fitting torque transducer; for all specimens, torque measurements in unconfined compression was also reported subsequently in the of the confined compression load response "c.c.f.# and unconfined hieved within 60 seconds. study of Park et al. [75], who showed that the magnitude fluid compression load response "u.c.f.#, andpeak for the predictionofofinterstitial the For confined and unconfined compression, a fluid load support in pressure unconfined compression approached 100% the conratio of tensile in unconfined compression "u.c.p.#. The as elastic -fitting algorithm was used to find the stantsmoduli provided in Table (H "A increased, ,H #A ,% 2 , &consistent ) representwith a comto best-fit compressive of the solid 1matrix Eqs.(100) and s by matching the experimentally measured plete set of properties for a material with cubic symmetry; these (103). force with the corresponding theoretical re- r "23##. For computational efficiency, the theoere determined using a numerical finite differlving the governing differential equations "Eq. ral difference was used for spatial differentiadifference in time, yielding a fully implicit l solution domain "0$z$h for confined com$r 0 for unconfined compression# was divided vals and the finite difference solution was obe step using a linear solver for band-diagonal ons. Numerical integration was employed for action force in unconfined compression, Eq. ezoidal rule. Curve-fitting was performed using ewton optimization method for minimizing a ple bounds using a finite-difference gradient merical Libraries, Visual Numerics, Houston, ctive function given by the root-mean-square of between the experimental and theoretical load Fig. 5 Experimental unconfined compression stress- Fig. 18: and theoretical responses for unconfined compression stressH "A and k z were obtained by curve-fitting theExperimental relaxation response † F u „ t …Õ ! r 02 ‡ and corresponding theoretical relaxation of a bovine articular cartilage disk, as reported by Soltz and Ateshian e F c (t) to the confined compression solution curve-fit for the same specimen as in Fig. 4. The experimental withpressure permission). transient axial response s value of H "A in Eq. "23#, H #A , % 2[79] , and(reproduced k r interstitial at theThe specimen center † p stress „ r Ä0,t …‡ and cor-was fitted to responding theoretical are also presented. urve-fitting the total load response F uextract (t) frommaterial parameters for theprediction biphasic-CLE model adopted in that study. The DECEMBER 2000 interstitial fluid pressure was measured at the bottom center of the disk, showing very good agreement with the fluid pressure predicted from the model using the Table 1 fitted material parameters. Transactions of the ASME ARTICLE IN PRESS C.-Y. Huang et al. / Journal of Biomechanics 38 (2005) 799–809 42 Table 2 Gerardregions A. Ateshian Compressive properties of human glenohumeral cartilage for different and zones Zone measurements of Region A0 At the time of these studies, all tensile cartilage propertiesHhad been performed using specimens harvested parallel to the Anterior articulara surface, whereas Humeral head Superficial 0.11070.030 a Center 0.08370.038 compressive properties had been measured on disks harvested with their axis normal a Inferior 0.13970.064 to the articular surface. Thus, tensile and compressive moduli reported in the prior Posteriora literature were not measured along the same direction, raising the possibility 0.09470.021 that Superiora 0.14670.029 cartilage could be linear elastic (having the same moduli in tension and compresAverage 0.1167 0.043 sion across the strain origin) but highly anisotropic (accounting fore the larger moduli Middle Anterior 0.11770.056 Center 0.19070.047 parallel to the surface and smaller moduli perpendicular to the esurface). This issue e Inferior 0.13270.036 was first resolved by Jurvelin et al. in 2003 [52], who reported thata the compressive Posterior 0.16770.069 modulus of human knee cartilage was statistically different, but ofa comparable magSuperior 0.14170.045 nitude, when measured on disks harvested with their axis perpendicular (∼ 1.2 MPa) Average 0.14170.048 or parallel (∼ 0.8 MPa) to the articular surface. Similar findings were subsequently a 0.14470.027 reported byGlenoid Wang et al. in 2003 [86] Superficial and Chahine et al. in Inferior 2004 [32], who measured a Superior 0.13670.088 the compressive and tensile properties of bovine articular cartilage cubes tested Average 0.13870.062 along three orthogonal directions. Evidence of the large disparity between tensile Middle Inferiore 0.19570.110 and compressive properties of articular cartilage is shown in the a stress-strain reSuperior 0.16870.094 sponses reported by Huang et al. [50]Average for human shoulder cartilage (Fig. 19). Today, 0.17870.094 based on the preponderance of evidence reviewed here, a fiber-reinforced elastic Key: HA0 ; HA0:16 : MPa; n: a ¼ 5; e ¼ 4: solid matrix is considered the preferred modeling approach for articular cartilage. 3.5 3 Stress (MPa) 2.5 2 C D 1 0.5 -0.5 -0.5 0.17670.029 0.18070.105 0.17870.073 0.23370.126 0.18570.121 0.20370.116 k0 ( " 10#14) B 1.5 0 0.13770.040 0.10170.039 0.16670.075 0.11670.027 0.17570.036 0.14170.051 0.16970.053 0.22670.053 0.15870.042 0.20070.083 0.16970.053 0.17570.052 Table 3 Permeability coefficients of human glenohumeral c regions and zones A A: Tensile (parallel, surface zone) B: Tensile (perpendicular, surface zone) C: Tensile (parallel, middle zone) D: Tensile (perpendicular, middle zone) E: Compressive (surface zone) F: Compressive (middle zone) HA0:16 E Mating surfaces Glenoida Humeral headb 1.3570.82 1.1470.77 Humeral head (region) Superiorf Inferiord Anteriord Posteriorf Centerd 0.8770.44 1.0070.62 0.9870.39 1.0370.57 1.8271.27 Glenoid (region) Superiorf Inferiore 1.4671.00 1.2270.56 F -0.4 -0.3 -0.2 -0.1 Strain 0.0 0.1 0.2 Fig. 8. Typical plots of equilibrium stress vs. strain from tensile and Fig. 19: Equilibrium stress-strain responses for representative human shoulder car- head (zone) Humeral confined compression tests for the central region of the humeral head. Z Superficial tilage samples tested in tension and compression, as reported by Huang et al. [50] It provides a good summary of the anisotropy, inhomogeneity, and i Middle (reproducedtension–compression with permission).nonlinearity Specimensof tested tension were harvested in the human in glenohumeral cartilage, with the of the stress–strain response or representing the modulus. plane tangential to slope the articular surface, parallel perpendicular to the localGlenoid split- (zone) Note that the tensile portion of the stress–strain curve represents an line direction. Superficialf unconfined tissue response, whereas the compressive portion represents a confined tissue response. The direction of testing (parallel to the surface for tensile testing, perpendicular to the surface for compression testing) is also not the same. Middlee 1.1070.94 1.1770.54 1.1870.51 1.5771.10 Key: k0 : m4/Ns; n: a ¼ 18; b ¼ 47; e ¼ 8; d ¼ 9; Z ¼ 6. Discussion from the superficial zone and 15% of specimens from the middle zone. It should be noted that failure occurred in specimens from the superficial zone of the glenoid (50%) more than those from the superficial zone of the humeral head (32%). The complexity of the mechanica human GHJ articular cartilage was inv study that addressed the anisotropy, and nonlinearity of the equilibrium elast Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 43 4 Other Related Mixture Models This chapter focused on a review of a biphasic mixture of intrinsically incompressible solid and fluid constituents, with a review of selected studies that validated the model against experimental measurements, mostly in articular cartilage. Since biphasic theory provides a framework for modeling the solid matrix stresses and interstitial fluid flow within a porous deformable material, many of the validation studies employed measurements of the interstitial fluid pressure or flux in response to mechanical loading to provide direct evidence in support of theoretical predictions. Fundamentally, mixture theory recovers the classical equations of elasticity theory in the limit when the fluid pressure is set to zero. In the limit when the porous solid matrix is rigid, it also recovers Darcy’s law, a well-attested phenomenological relation for flow through porous media. Therefore, the validation studies reported here effectively demonstrate that the theory can also predict the coupling between solid matrix deformation and interstitial fluid pressurization. 4.1 Modeling Solutes in Mixtures Mixture theory has also been extended to include solute transport within the interstitial fluid of a solid-fluid mixture. Extending the theory to incorporate solutes is relatively straightforward, based on the governing equations covered in Section 2. When solutes are included, the list of state variables must be extended to include the solute apparent density ρrα = Jρ α (mass of solute α per volume of the mixture in the reference configuration). The dependence of the mixture free energy Ψr on solute density is then embodied in the chemical potential µ α = ∂Ψr /∂ ρrα . If solutes and the solid matrix are electrically charged, an electric potential ψ may arise if it is assumed that the mixture must satisfy the electroneutrality condition (much like the pressure p arises from the assumption that the mixture constituents are intrinsically incompressible). The fluid pressure p, electrical potential ψ, and chemical potential µ α may then be combined into a single scalar variable µ̃ α called the mechanoelectrochemical potential. Then, according to the momentum equations, solvent and solute fluxes are driven by gradients in µ̃ α , as well as inertia and body forces, and resisted by dissipative momentum exchanges p̂αd similar to the presentation in Section 3.1 and Eq.(20). The first extension of biphasic theory to include solutes was presented by Lai et al. in 1991 [57], who modeled cartilage as a triphasic mixture consisting of a charged porous deformable solid matrix, and an interstitial fluid consisting of a neutral solvent (water) and two monovalent counter-ions from a dissolved salt (such as Na+ and Cl− ). These authors showed that mixture theory could reproduce Fick’s law of diffusion in the limit of a free fluid solution, which arises from the momentum balance for the solute. It could also reproduce Donnan’s law to predict the osmotic swelling pressure arising from soluble charge segregation between the triphasic mixture and its surrounding fluid environment. More generally, in addition to 44 Gerard A. Ateshian permeation, diffusion and barophoresis, electrokinetic phenomena could also be recovered from triphasic theory, such as electrophoresis, electro-osmosis, and streaming potentials and currents [43, 58]. The triphasic formulation was later extended by Gu et al. in 1998 [44] to include any number of electrolytes. These formulations demonstrated that mixture theory provides the foundation for modeling a wide range of phenomena encountered in biological tissues and cells. Mixture theory provides a fundamental framework that accounts for interactions among all mixture constituents. Consequently, when classical phenomenological relations emerge from the mixture equations, such as Darcy’s law and Fick’s law, we may discover (or rediscover) terms that were neglected in these earlier formulations. In 2003, Mauck et al. [67] formulated a mixture framework for a neutral solute in a porous deformable hydrated solid matrix. While mixture theory accounts for frictional drag tensors fαβ between every pair of constituents, the earlier triphasic [57] and multi-electrolyte [44] models opted to neglect the friction between solutes and the solid matrix, arguably because the resulting expressions were sufficient to reproduce Darcy’s law and Fick’s law. By keeping the frictional drag between solute and solid, Mauck et al. [67] showed that the resulting momentum equations for the solute could differentiate between solute diffusivity within a free fluid versus the diffusivity within the mixture (inclusive of the solid matrix). While experiments had long attested that these diffusivities could be different (depending on the molecular size of the solute relative to the pore structure of the solid) [40], most models of solute transport within porous media simply employed Fick’s phenomenological law with an adjusted value of the solute diffusivity. Mauck et al. [67] showed that the mixture formulation could predict phenomena resulting from the interaction of solid matrix deformation and solute transport that were not anticipated by the phenomenological relations. Most notably, they found that dynamic loading of a disk of tissue, or hydrogel, submerged in a bath containing a solute, would increase the solute concentration far above that predicted from Fick’s law. A series of subsequent experimental studies validated these predictions in agarose and articular cartilage [3, 5, 6, 33], providing further confidence that mixture theory is a sound framework for extending classical formulations (Fig. 20). Similarly, using basic principles from mixture theory and physical chemistry, Mauck et al. [67] proposed a formulation for solute partitioning between the pore space in the mixture and a surrounding solution, which could account for solid matrix deformation and incomplete volume recovery in response to osmotic loading. This formulation was later found to accurately predict the response of hydrogels and chondrocytes to osmotic loading using a variety of osmolytes [2, 4, 15]. 4.2 Constrained Solid Mixtures As shown by Humphrey and Rajagopal [51], mixture theory may also be used to model the solid matrix of biological tissues that have heterogeneous constituents, such as mixtures of collagen, elastin, and smooth muscle cells, as found in the aor- Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 45 20 9.2% 6.9% 5.9% 16 ĉ 12 8 4 0 0 10 20 30 time (h) 40 Fig. 20: Experimental results (symbols) and theoretical predictions (solid curves) for the uptake of 70 kDa dextran into agarose disks of various concentrations (see legend) in response to dynamic unconfined compression (±5 % strain amplitude at 1 Hz, superimposed on a 15 % compressive strain offset [3]) for 40 h. ĉ is the ratio of average dextran concentration in the dynamically loaded disk to the average concentration achieved at steady state in the absence of loading; it represents the enhancement ratio resulting from dynamic loading. Theoretical predictions were obtained by independently measuring the mechanical and transport properties of this agarose-dextran system and using them in the mixture model formulated by Mauck et al. [67]. Reproduced from the study by Albro et al. [5] (with permission). tic wall. When these constituents are physically bound together, it may be assumed that the solid mixture is constrained such that all solid constituents α share the same velocity vα ≡ vs . It is noteworthy that this assumption simplifies the formulation of the mixture governing equations, since the diffusion velocity uα and dissipative momentum supply p̂αd (Section 2.2) reduce to zero in the case of such mixtures. Moreover, it may be assumed that each solid constituent in the mixture has a different reference configuration Xα [13, 85], even though all constituents share the same current configuration x, which makes it possible to model the evolution of residual stresses in growing tissues. In hindsight, another model commonly adopted in the biomechanics of biological soft tissues implicitly describes constrained solid mixtures whose constituents all share the same reference configuration. Notably, Lanir’s approach for modeling soft tissues using continuous fiber distributions [59, 60] relies on the superposition of fiber bundles that may contribute to the tissue response only if their normal strain is tensile, as illustrated in Eq.(82). In his approach, which has been widely followed in the biomechanics literature, only fiber bundles that are in tension contribute to the response; thus, each fiber bundle may be viewed as a mixture constituent, even while the number of constituents in the mixture varies with the state of loading. Yet, all fibril bundles share the same reference and current configuration, satisfying the assumption of a constrained solid mixture. 46 Gerard A. Ateshian 4.3 Growth and Remodeling As shown in the mass balance equation (1) for each constituent, mixture theory allows mass exchanges, thus chemical reactions, between its constituents. Reactions that add or remove mass from the solid matrix of a biological tissue may describe growth and remodeling. An elegant demonstration of this basic concept was presented by Cowin and Hegedus in 1976 [36], who modeled interstitial growth and remodeling of bone in response to mechanical loading using a mass supply term for the solid matrix, which depended on the state of strain. The supply of mass to the solid matrix came from implicit soluble constituents available in the trabecular pore space. Modeling growth using mixture theory has since been reprised by many authors, as reviewed in [7, 12], and is currently an active topic of investigation. It is intriguing that the theory of reactive mixtures may also be used to model classical phenomena such as viscoelasticity, where the viscous behavior results from bonds that break in response to loading, and reform in a stress-free state [11]. Other related phenomena, such as damage mechanics, may thus be similarly modeled, where bonds break permanently in response to loading. A main advantage of this approach is that bond mass densities are observable variables whose temporal evolution is governed by the equation of mass balance. Since the evolving composition of a material may be measured experimentally, reactive mixture models may be validated directly against such measurements. 5 Summary Mixture theory is an elegant continuum mechanics framework that is well suited for modeling biological tissues. While many biomechanics investigators have opted to use this framework since its introduction in the 1960s, it is fair to state that some of its earliest and most determined proponents were Van C. Mow and W. Michael Lai,1 who applied it to the modeling of articular cartilage, and worked over several decades in an effort to validate and extend this framework to accommodate the complexities of biological tissues. With their biphasic theory, they applied mixture theory to model biological tissues as deformable porous media. Porous media had already been successfully modeled using earlier theories, first proposed by Fillunger, then Terzaghi, as reviewed in the captivating historical perspective of de Boer [39], subsequently advanced by Biot [25] as consolidation theory, and recast as poroelasticity theory by Rice and Cleary [76]. Indeed, Mow et al. [68] and Bowen [28] pointed out the equivalence of their approaches to Biot’s earlier work. However, despite its elegance, the poroelasticity framework did not provide the foundations for extending the theory to multiple constituents, nor mass exchanges among the constituents. By using mixture theory, Lai and Mow showed that biphasic theory could be systematically extended to triphasic theory [57], which 1 Mow and Lai were this author’s doctoral advisors and mentors, starting in 1986. Mixture Theory for Modeling Biological Tissues: Illustrations from Articular Cartilage 47 laid the foundations for many subsequent developments, as partially reviewed in Section 4. Many other investigators have independently demonstrated the value of mixture theory for modeling complex phenomena in biological tissues, as also partially reviewed above. Because theoretical frameworks are critically dependent on constitutive assumptions, there is no unique formulation of mixture theory for a given combination of fluid and solid constituents. Consequently, I felt that an exhaustive review and comparison of mixture models in biological tissues was beyond the scope of this chapter. The modeling approach reviewed here provides the foundation of the framework I have found useful in my own investigations and applications to biological tissues. In collaboration with Jeffrey Weiss, Steve Maas and other colleagues, we have strived to provide finite element computational tools [63] that implement biphasic and multiphasic theories [17, 19], including contact mechanics [16, 18] and chemical reactions [20], to facilitate the dissemination of this framework within the biomechanics community. Acknowledgments I would like to thank the many former and current doctoral students and fellows who labored with me over the years, performing experiments and validating the mixture models used in our investigations of biological tissues: Dr. Huiqun (Laura) Wang, Dr. William H. Warden, Dr. Michael A. Soltz, Prof. Robert L. Mauck, Prof. Chun-Yuh (Charles) Huang, Dr. Changbin Wang, Dr. Ramaswamy Krishnan, Prof. Seonghun Park, Prof. Ines M. Basalo, Prof. Nadeen O. Chahine, Dr. Michael B. Albro, Dr. Matteo M. Caligaris, Dr. Clare Canal-Guterl, Dr. Sevan R. Oungoulian, Mr. Alexander D. Cigan, Mr. Robert J. Nims, Mr. Brian K. Jones, Mr. Chieh Hou, and Ms. Krista M. Durney. I would also like to thank Dr. Albro for providing the experimental data appearing in Fig. 4, and Mr. Brandon K. Zimmerman for re-analyzing older data sets to produce Fig. 13. References [1] Akizuki S, Mow VC, Müller F, Pita JC, Howell DS, Manicourt DH (1986) Tensile properties of human knee joint cartilage: I. influence of ionic conditions, weight bearing, and fibrillation on the tensile modulus. 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